To evaluate clinical and functional outcome among 50 patients having unstable intertrochanteric fracture femur and treated by cemented hemiarthroplasty

Abstract

Background and Method: Patients who have sustained an intertrochanteric fracture femur and are admitted to Index Medical College and Research Centre, Indore M.P. are taken for this study after obtaining their consent. Total No of cases: 50 Patients with intertrochanteric fracture femur satisfying the inclusion criteria, who required surgical intervention, were worked up clinically and radiologically. All patients selected for the study were examined according to protocol, associated injuries, if any, were noted and investigations carried out in order to evaluate fitness for anesthesia. Result: Age distribution pattern of the patients. Average age -79.5 years, youngest patient-70 years and oldest-90 years. Increase in average Harris Hip Score at 1 month, after 6 months and after 1 year follow up. Conclusion: Primary hemiarthroplasty provides a stable, pain-free, and mobile joint with acceptable complication rate as seen in our study. The meticulous reconstruction of the posteromedial calcar area with bone graft taken from neck of femur is crucial for stable implantation of the prosthesis. Early mobilization, less hospital stay and excellent stability offered by hemiarthroplasty makes it a promising method to deal with the challenging problem of comminuted intertrochanteric fractures in the elderly population.