Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Functional Outcome of Unstable Comminuted Intertrochanteric Fractures in Elderly Treated with Primary Bipolar Hemiarthoplasty: An Observational Study
Harsh M. Patel, Swar Desai, Jaimin A. Vaishnav and Bhuminkumar M. Patel
Page: 34-39 | Received 20 Jul 2024, Published online: 03 Sep 2024
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Abstract
The aim of the present study was to evaluate the clinical and functional outcomes of cemented bipolar prosthesis in unstable intertrochanteric fractures in the elderly. We conducted a prospective study in which we included 50 patients who presented to Orthopedic Outpatient Department with inter‐trochanteric femoral fractures. We got ethical committee approval to conduct a prospective study. The average age of the study population was 72.8±4.26 years, with 52% being female. 26 (52%), had left extremities involvement. Fifty percent of patients experienced road traffic accidents, 30% had height falls and 20% had mild trauma from walking falls that caused fractures. 32 patients had type 31‐A2.2 trochanteric area fractures and 18 had type 31‐A2.3 fractures, according to the AO/OTA classification. The SI found grade III osteoporosis in 27 individuals (54%), grade II in 18 (36%) and grade I in 5 (10%). Many patients experienced age‐related issues. In 15 individuals, hypertension was present and 11 had diabetes. The average period from admission to surgery was 6.64±1.46 days. Four individuals needed 2 U of postoperative blood transfusion, but most required 1 U. The average procedure lasted 84 minutes, ranging from 55‐105. The mean blood loss was 272 ml and ranged from 200‐400. The dislocation rate in our investigation was nil. The mean Harris hip score improved with time. Older women are more likely to have femur intertrochanteric fractures. We recommend Cemented Bipolar Hemiarthroplasty for freely mobile senior patients over 60 with intertrochanteric femoral fractures, according to our findings. Hemiarthroplasty for senior femur intertrochanteric fractures brought early mobilisation, restoration to pre‐injury levels, improved quality of life and a long‐term solution. Immobilisation, rehabilitation, deformities and revision procedures are avoided with early full weight bearing following hemiarthroplasty.
How to cite this article:
Harsh M. Patel, Swar Desai, Jaimin A. Vaishnav and Bhuminkumar M. Patel. Functional Outcome of Unstable Comminuted Intertrochanteric Fractures in Elderly Treated with Primary Bipolar Hemiarthoplasty: An Observational Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.34.39
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.34.39