Intertrochanteric fractures are common in elderly osteoporotic population.

Unstable intertrochanteric fractures in elderly population are notorious for reduction and fixation due to

comminutionposteromedial wall fracture. Conventional implants used for such unstable

intertrochanteric fractures have higher failure rates due to associated osteopororsis  with delayed

weight bearing protocol in postoperative period with increase rate of morbidity and mortality. Fixation

of fracture with appropriate implant still is considered gold standard for stable two part

intertrochanteric fractures.

However for unstable fractures,  bipolar cemented hemiarthroplasty is one of the surgical treatement

which allows early pain free weight bearing and decrease in morbidity and mortality.