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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 4 Issue 3 July -Sep 2018

Original Articles

Evaluation of Functional Outcome of Cemented Hemiarthroplasty in Osteoporotic Unstable Intertrochanteric Fracture
Pradeep Kumar Sharma, Harish Singh Rajpurohit, Vardharam, Govind Sharma, Anoop Tiwari, Nanuram

Background: Factors which define instability in inter-trochanteric fractures are posteromedial communition, reverse obliquity, cases with minimal contact between proximal and distal fragments have a tendency of medial migration of the shaft, leading to failure of most implants. The aim of this study to assess the functional outcome of patients with unstable osteoporotic inter-trochanteric fractures treated with cemented bipolar prosthesis. Material & Methods: The prospective study included all the patients of unstable osteoporotic inter-trochanteric fractures treated with cemented modular bipolar prosthesis in Dr S.N. Medical College, Jodhpur, Rajasthan, India. Fracture was classified as per AO classification of trochanteric fractures. Reattachment of fracture fragment with screw by posterior approach surgically. At each follow up patients were evaluated clinically and radiologically to ascertain implant position and any sign of implant loosening. Results were assessed using Harris Hip Score. Results: The age of the patients in the present study was in the range of 65-90 years with an average age of 74.2 years. There was a preponderance of females in the present study. 9 (50%) patients had no increase in dependency on walking aid as compared to pre-fracture status while 9 patients (50%) had increased dependency on walking aid after surgery. 61% of patients could walk for unlimited distance after surgery. Final results of the study were assessed by modified Harris Hip Score taken at the last follow up of patents. We had 79% (excellent / good) results. Conclusion: We concluded that majority of patients with intertrochanteric fractures can be successfully managed with osteosynthsis, older patients with severe osteoporosis and associated comorbidity may benefit from prosthetic replacement. KeyWords: Bipolar prosthesis, Inter-trochanteric fracture, Harris Hip Score, Functional outcome

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