Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study

Abstract

Background: Grossly comminuted intertrochanteric fractures in osteoporotic bones are highly unstable and difficult to
treat. Hemiarthroplasty is a popular choice because it provides stability and enables for immediate complete weight
bearing.
Objectives: The goal of this trial was to see how effective cemented hemiarthroplasty was at treating proximal femoral
fractures in older people with severe osteoporosis.
Methods: Thirty patients who had bipolar hemiarthroplasty for unstable intertrochanteric fractures were studied
prospectively. The posterior (Moore’s) technique was used to treat all of the patients with cemented bipolar prostheses.
The average time of follow-up was 12 months. The modified Harris hip score was used to evaluate the patients.
Results: Abductor weakness was present in 5 of the individuals. At the 12-month follow-up, 21 cases (70%) had bad
results, while three cases (10%) had poor results. The average length of stay in the hospital was 10.9 days. Excellent to fair
results were observed in 24 patients, as measured by the modified Harris hip score.
Conclusion: In older individuals with significant osteoporosis, the therapy of unstable intertrochanteric fractures differs
from the treatment of other proximal femoral fractures. Internal fixation is not as effective as cemented hemiarthroplasty
in treating these fractures. This approach has a clear advantage in terms of early full weight bearing and recovery. Hips
that have undergone cemented hemiarthroplasty are stable and mobile. Weight bearing can begin earlier than with other
treatment approaches, avoiding any recumbency-related problems.