Author:
Chowdhury Rupam,Patnaik Sanjeev
Abstract
Introduction: Fractures of the Intertrochanteric region are some of the most common fractures encountered by an orthopaedic surgeon. With
increase in life expectancy, the incidence of these fractures is also increasing. The incidence of hip fractures worldwide is estimated at 1.6 million.
Hip fractures always cause short term and long-term complications and morbidities. Intertrochanteric fractures in osteoporotic bones with gross
comminution are highly unstable and are associated with a high risk of morbidity and mortality.
Aim: To compare the clinical outcome in patients operated with proximal femoral nailing versus patients operated with cemented hemiarthroplasty
in case of unstable intertrochanteric fractures of elderly patients.
Materials And Methods: This is a hospital based comparative study done in elderly patients of age 65 years and above with unstable
intertrochanteric fractures being admitted in Apollo Hospitals, Bhubaneswar. Sample size had been determined on the basis of availability of the
patients and was taken as 25 for proximal femoral nailing and 25 for cemented hemiarthroplasty on the basis of randomisation sampling method
before March 2020 .Patients were evaluated on the basis of clinical history, clinical examination , surgical and post-operative rehabilitation after
taking proper consent .
Results: Cemented hemiarthroplasty for the unstable intertrochanteric fractures of the femur in elderly has good early clinical outcome on the basis
of this study . In this study 6thmonth and 9thmonth harris hip score were signicantly more in cemented hemiarthroplasty compared to proximal
femur nailing which was statistically signicant. Cemented hemiarthroplasty in unstable intertrochanteric fractures has a major advantage of
allowing early mobilization, immediate weight bearing with walker, rapid rehabilitation, shorter hospital stay and early return to work so we
believe that cemented bipolar hemiarthroplasty is of choice in freely mobile elderly patients above sixty ve years of age with an intertrochanteric
femoral fracture.
Conclusion: cemented bipolar hemiarthroplasty is of choice in freely mobile elderly patients above sixty ve years of age with an intertrochanteric
femoral fracture.
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