FUNCTIONAL OUTCOMES OF BIPOLAR HEMIARTHROPLASTY IN UNSTABLE INTERTROCHANTERIC FRACTURES IN ELDERLY PATIENTS

Abstract

Background: Intertrochanteric fractures account for about 45% to 50% of all hip joint fractures in elderly patients. Conservative treatment carries the disadvantages of non-union and malunion, which in turn will increase the morbidity and mortality. Currently hemiarthroplasty and internal xation are the two considerable surgical options for xation for hip fractures. The purpose of this study was primarily to study functional recovery in patients with unstable intertrochanteric fractures treated with bipolar hemiarthroplasty while studying other relevant intraoperative and postoperative parameters of patients in these groups. 16 patients underwent bipolar Methods: hemiarthroplasty for unstable intertrochanteric femur fracture. Patients were evaluated in post-operative period for mobilization and full weight bearing. Harris hip score was used for functional evaluation on follow up visit for a period of 12months In our study the mean age (years) was Results: 73.31 ± 7.79. Seven (43.8%) of the participants had AO Type: A2.2 fracture, four patients (25.0%) had AO Type: A2.3, two (12.5%) of the participants had AO Type: A3.1. and three of them (18.8%) had AO Type: A3.3 fracture. The mean (SD) of Surgical Time (Minutes) was 111.50. The mean (SD) of Blood Loss (ml) was 491.25. The mean (SD) of Full Weight Bearing Day was 3.81. During the nal follow-up Excellent to fair results were obtained in 13 (81.25 %) cases and in 3 (18.75%) cases, results were poor. Bipolar hemiarthroplasty is suitable for intertroc Conclusions: hanteric fractures in elderly patients who have mechanically weak and porotic bones. Bipolar hemiarthroplasty has fair functional outcomes in unstable intertrochanteric femur fractures.