Original Articles
A study on bipolarhemiarthroplasty for trochanteric fracturefemur in geriatric age group and its functional outcome | |
N Saidulu, Bachu Rajendra Prasad, Kiran Reddy Ch Srk, A Kishore Reddy | |
Introduction: The incidence of intertrochanteric femur fractures has increased due to longer life expectancy and osteoporosis. These types of fractures are highly unstable and challenging to manage when they occur in osteoporotic bones that are grossly comminuted. Aim of the present study was to study the functional outcome of bipolar hemi arthroplasty for trochanteric fractures in geriatric age group and to facilitate early weight bearing, mobilization and rapid rehabilitation of the patient after surgery.Materials and Methods: This prospective study was conducted at Bhaskar General Hospital from January 2018 to June 2019, and it involved the management of 30 cases of Bipolar Hemi Arthroplasty trochanteric fracture femur in the geriatric age group. Patients were followed up for a period of one and a half years and evaluated clinically using the MODIFIED HARRIS HIP SCORE to assess their functional outcome. The results of this study will be based on the outcome of the evaluations.Results: The majority of 15 study participants were aged between 65 years and 75 years, followed by 75 to 85 and above 85 years age group was 16.6 and 6.6%, respectively. In the study participants, 10 were males, and the remaining 20 participants were females. Majority of fractures in our study are associated with elderly female patients. Other 26 patients were followed up at 6 weeks, 3 month, 6 months and 12 months post operatively. The most common associated comorbid medical problem was hypertension in 9 patients followed by type II diabetes mellitus in 8 patients. The mean day of full weight bearing was on the 6th post-operative day. Average day to full weight bear in our study is 5.5 days.Conclusion: In conclusion, this study involved 30 elderly patients aged 65 years and above who underwent primary hemiarthroplasty for Intertrochanteric fractures. The versatility of the bipolar prosthesis was evident in the varied indications in which it was used, highlighting its potential for a wide range of orthopedic procedures. |
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