Primary cemented bipolar hemiarthroplasty in elderly unstable intertrochanteric fractures
Background: The incidence of inter-trochanteric fractures of the femur is very high in the elderly population. (1) Anatomic restoration of the neck of femur, along with articular congruity is the goal of management.
Materials and Methods: Thirty patients with unstable Intertrochanteric fractures were operated by Bipolar Hemiarthroplasty. Follow-ups were taken at 2, 6, 10 and 16 weeks. Harris Hip Score and FIM score were assessed.
Results: Mean Harris Hip score achieved was 87 at 16 weeks and Mean FIM score achieved was 78.9 at 16 weeks indicating good functional outcomes. The outcome was excellent in 23.4%, Good in 63.3%, Fair in 10% and Poor in 3.3% as per HHS.
Conclusion: This procedure offered pain free mobile hip with early mobilization, easy rehabilitation and early return to functional level, when standard techniques were used.
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