Study of unstable intertrochanteric fractures treated by cemented bipolar hemiarthroplasty in elderly patients
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
1.1 Aims and Objectives: To study the functional outcome of unstable intertrochanteric fracture treated with bipolar cemented prosthesis and complications associated with it. Also to facilitate early mobilization, early weight bearing with rapid rehabilitation in elderly patient with unstable intertrochanteric fractures 1.2 Material and methods: Prospective study of 20 cases presenting with unstable intertrochanteric fractures which satisfy inclusion and exclusion criteria admitted in Vijayanagar Institute of Medical Sciences, Ballari from year 2013- 2016 who are treated with Cemented Bipolar Prosthesis. 1.3 Results: In our study of 20 cases, there were 9 male and 11 female patients with mean age of 77.3 years. 75% of the cases admitted were due to trivial trauma, 25% due to RTA with left side being more common side affected. Boyd & Griffin’s Type II fractures accounted for 75% of cases. Mean duration of hospital stay was 12.6 days and mean time of full weight bearing was 3.9 days in our patients. 1 patient died on Postoperative day 5. 25% excellent, 30% good, 30% fair results obtained in our study according to Harris Hip Score. 1.4 Conclusion: Our study concludes that Cemented Bipolar Hemiarthroplasty in elderly patient with unstable intertrochanteric fracture reduces complications of prolonged immobilization, prolonged rehabilitation which are associated with internal fixation. Also reduces need for secondary surgery which required in cases of malunited fractures, non-union and implant failure. The procedure offered rapid mobilization, rapid return to pre injury level and improved quality of life.
Authors and Affiliations
Dr. Ajaykumar, Dr. Guruduth GV, Dr. Aswani Kumar Singh J
Keywords
Related Articles
- EP ID EP498117
- DOI 10.22271/ortho.2017.v3.i3d.48
- Views 129
- Downloads 0
To compare and analyze the functional outcome seen after hemiarthroplasty with uncemented Austin Moore’s prosthesis and non-cemented non-modular bipolar prosthesis in all displaced intracapsular femur neck fractures in elderly patients using the Harris Hip score in rural population
Introduction: Fractures Neck of the femur is one of most common fractures seen by an orthopedician. The incidence of these fractures and the various problems arising from them are growing, the reason for this is mainly t...
Functional outcome and complication of PHILOS plating in proximal humeral fractures
Introduction: Proximal humeral fractures account for 5% of all fractures. Displaced and unstable fractures are difficult to manage. New plating techniques have been developed to improve stability. Aim: Aim of this study...
Functional outcome of close Bimalliolar fracture treated by open reduction and internal fixation by various methods: A retrospective study
Background: Ankle injuries gain importance because body weight is transmitted through it and location depends upon the stability of this joint. Unstable displaced and open fractures require open reduction internal fixati...
Surgical management of fracture neck of femur in elderly adults with cemented bipolar hemiarthroplasty
To study the functional outcome of fracture neck of femur treated with cemented bipolar hemiarthroplasty, post operative time required for mobilization of the patient, complications related to this procedure and to study...
Radiological assessment of inter-prosthetic joint movement in bipolar hip hemiarthroplasty for fracture neck of femur
Introduction: Fracture neck of femur has been recognised since the time of Hippocrates and is a common orthopaedic problem in old age and they have a tremendous impact on both the health care system. Despite marked impro...