A Prospective Study of Four-part Intertrochanteric Femur Fractures Treated with Cemented Bipolar Prostheses in Elderly Patients

Introduction: The care of comminuted inter trochanteric femur fractures in the elderly is complicated because to the difficulty of anatomical reduction in osteoporotic bones, the requirement for prolonged immobilization following surgery, and the increased risk of screw cut out in poor quality bone. Prolonged Bed sores, chest infections, and deep vein thrombosis are among problems of immobility. Both morbidity and mortality are increased as a result of reliance and psychosocial side effects.

The Purpose of this Study: “To assess the functional outcome of cemented bipolar hemiarthroplasty in patients over 60 years old with comminuted intertrochanteric femur fractures”.

Materials and Methods: This study was conducted in the Department of Orthopedics, Govt. Medical College, and affiliated groups of hospitals in Kota between 2017 and 2019. The patients were all over 60 years old and had an intertrochanteric fracture that was unstable. Exclusion criteria: Patient is unwilling to undergo surgery and is medically unfit.

Results: The average age in our research was 77.3 years. Hypertension was the most prevalent linked medical issue, accounting for 33% of the total. Cerclage wire was used to keep the pieces of the Greater trochanter together (46.66%). In seven cases, calcar reconstruction was performed (23.33%). The patients were followed up on at six weeks, three months, six months, nine months, and one year after surgery. After 6 weeks, 12 patients were able to walk without assistance, 10 with a cane, and 8 with a walker. Squatting and sitting cross-legged were not recommended for any of the patients.

Conclusion: For older patients with comminuted inter trochanteric femur fractures, the surgery allowed for quick mobilization, early recovery to pre-injury levels, and provided a long-term solution.