Bipolar Hemi Arthroplasty for Unstable Osteoporotic Inter-Trochanteric Fractures of Femur

Abstract

Introduction: As the life expectancy of people is increasing  , old age population is also increasing and trochanteric fractures with osteoporosis are getting commoner and producing challenge of regaining people there pre operative activity status for which a cemented bipolar arthroplasty was performed  as an alternative to osteosynthesis by Dynamic screws . Harris hip score was assesed at various intervals within a year.

Materials and Methods: This is a  prospective study including 25 cases of unstable intertrochantric fracture (classified according to Evans classification) with osteoporosis treated with cemented bipolar prosthesis assessed

Result: The mean Harris hip Score was 78.86 by the end of one year.

Discussion: The Harris hip score was  at satisfactory level post op and improved over the first six weeks , later it stabilzes till one year

Conclusion: The authors believe cemented bipolar hemiarthroplasty is a useful in osterporotic ustable intertrochantric fractures.

Keywords: intertrochantric fractures, bipoar prosthesis, osteoporosis