Role of Primary Bipolar Hemiarthroplasty in Treatment of Unstable Intertrochanteric Femur Fracture in the Elderly Patients
Author(s): Manoj Kumar Arya, Anoop Raj Singh, Nikhil Malik and Praganesh Kumar*
Abstract
Background: Intertrochanteric femur fracture is one of the most common health problems amongst the elderly population. Objective: To evaluates the role of primary bipolar hemiarthroplasty in treatment of unstable intertrochanteric femur fracture in the elderly patients. Methods: The study was carried out in a prospective manner in the Department of Orthopaedics; SRN Hospital affiliated to MLN Medical College, Prayagraj; during the period from June 2019 to May 2020. Results: Most of the cases in our study belong to Boyd & Griffin type 2 (76.92%) intertrochanteric fracture. 20 patients (76.92%) and 6 patients (23.08) had Boyd and Griffin type 2 and type 3 fracture pattern respectively. None of the patients had type 1 and type 4 fracture patterns in our study. 9 patients were grade 3, 12 patients were grade 2 and 5 patients were grade 1 as per Singh Index. None of the patients belong to grade 4, 5 and 6. Conclusion: This procedure is excellent for those cases in which achievement of proper reduction and stable fixation is difficult due to severe comminution and poor bone quality and early mobilization is warranted.