Evaluation of Outcomes of Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures in among Elder Patients

El-Soufy, Mohamed Abdullah; Nafea, Waleed Mohmed; Almahrouq, Mare Altahir Saed; Ibrahim, Mohamed Hussein ElSayed

doi:10.21608/ejhm.2022.226947

Evaluation of Outcomes of Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures in among Elder Patients

Document Type : Original Article

Authors

10.21608/ejhm.2022.226947

Abstract

Background: Early postoperative ambulation following hemiarthroplasty for elderly patients with unstable intertrochanteric femur fractures is possible with the use of bipolar prosthesis.
Objective: to evaluate the safety and efficacy of a new surgical treatment for unstable intertrochanteric fractures in elderly patients treated with bipolar hemiarthroplasty.
Patients and Methods: Our study was done on 18 patients that experienced primary cemented bipolar hemiarthroplasty for fixation of unstable intertrochanteric fractures at Zagazig University Hospital. Patients were followed up clinically and radiologically for 6 months. Clinical evaluation was done using Harris hip score.
Results: The standard cemented bipolar hemiarthroplasty represented (61.1%) and cemented bipolar hemiarthroplasty with calcar replacement (38.9%) of line of treatment. Most of the studied group (41.2%) had excellent Harris hip score (HHS) followed by (35.3%) had good score then fair (17.6%) and lastly poor score (5.9%), with mean HHS of 83.23.
Conclusion: When treating older patients with unstable intertrochanteric fractures, primary bipolar hemiarthroplasty is a better option than open reduction and internal fixation.

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