Assessment of the functional results of hemiarthroplasty in geriatric individuals with unstable intertrochanteric femur fractures
Keywords:Hemiarthroplasty, Intertrochanteric fracture
Background: The objective of our study is to measure early weight bearing, mobilization, rapid rehabilitation, complications in unstable intertrochanteric femur after hemiarthroplasty fractures in elderly patients.
Methods: Prospective and retrospective, non-randomized study was conducted to assess functional results of hemiarthroplasty in elderly individuals with unstable intertrochanteric femur fractures following surgery in patients who underwent surgery from 2019 to 2021 in department of orthopaedics of Seth Nandlal Dhoot Hospital, Aurangabad. Out of total 44 participants, there were 16 males and 28 females with mean age of 79.54 years of study participants. The patients were evaluated radiologically with routine X-rays i.e. pelvis with both hip joint anteroposterior (AP) view and affected side hip lateral view and clinically early weight bearing, mobilization, rapid rehabilitation and complication with Harris hip score.
Results: In our study we observed good result of 86.53±5.73 mean Harris hip score at the end of 1 year was following surgery in 44 study participants who underwent hemiarthroplasty in unstable intertrochanteric femur fractures in elderly patients.
Conclusions: Primary hemiarthroplasty offers an essentially pain-free movable joint and is a preferable mode of treatment for older osteoporotic patients who suffers from unstable intertrochanteric femur fractures. Hemiarthroplasty allows for early mobilization and offers rapid stability and mobility, preventing the issues associated with recumbency. Hemiarthroplasty has a lower rate of complications and revision surgery than fixation. According to the Harris hip score, primary bipolar hemiarthroplasty results in a good functional outcome, but long-term monitoring is necessary.
Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Joint Surg Am. 1979;61(2):216-21.
Zuckerman JD. Hip fracture. N Engl J Med. 1996;334(23):1519-25.
Haentjens P, Casteleyn PP, De Boeck H, Handelberg F, Opdecam P. Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation. J Bone Joint Surg Am. 1989;71(8):1214-25.
Harwin SF, Stern RE, Kulick RG. Primary Bateman-Leinbach bipolar prosthetic replacement of the hip in the treatment of unstable intertrochanteric fractures in the elderly. Orthopedics. 1990;13(10):1131-6.
Haentjen P. Intertrochanteric fracture and subtrochanteric fractures in the elderly patients. JBJS. 1989;71A:1214-24.
Maru N, Sayani K. Treatment of unstable intertrochanteric fracture with primary bipolar hemiarthroplasty. Gujarat Med J. 2013;68(2).
Rodop O, Kiral A, Kaplan H, Akmaz I. Primary bipolar hemiposthesis for unstable intertrochanteric fractures. SICOT Int Orthop. 2002;26(4):233-7.
Sinno K, Sakr M, Girard J, Khatib H. The effectiveness of primary bipolar arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients. North Am J Med Sci. 2010;2:5618.
Singh S, Shrivastava C, Kumar S. Hemi Replacement Arthroplasty for Unstable Inter-Trochanteric Fractures of Femur. J Clin Diagn Res. 2014 Oct; 8(10): LC01–4.
Kumar KGN, Meena S, Kumar VN, Manjunath S, Vinaya Raj MK. Bipolar Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study. J Clin Diagn Res. 2013;7(8):1669-71.
Vahl AC, Jacobs PBD, Patka P, Haarman HJ. Hemiarthroplasty In Elderly, Debilitated Patients With An Unstable Femoral Fracture In The Trochanteric Region. Acta Orthopaedica Belgica. 1994;3(60):274-9.
Sancheti KH, Sancheti PK, Shyam AK, Patil S, Dhariwal Q, Joshi R. Result of primary hemiarthroplasty in intertrochanteric fracture femur, Indian J Orthop. 2010;44(4):428-34.
Patil A, Ansari M, Pathak A, Goregaonkar B, Thakkar CJ. Role of cemented bipolar hemiarthroplasty for communited intertrochanteric fracture femur. IOSR-JDMS. 2013;9(4):40-7.
Kayali C, Agus H, Ozluk S. Treatment for unstable intertrochanteric fractures in elderly patients: internal fixation versus cone hemiarthroplasty. J Orthop Surg. 2006;14(3):240-4.
Puttakemparaju KV, Beshaj NR. Unstable intertrochanteric fracture in elderly treated with bipolar hemiarthroplasty: A prospective case series. Afr J Trauma. 2014;3(2):81-6.
Choudhari P, Agrawal A, Gurjar A. Treatment of Comminuted Unstable Inter-Trochanteric Fracture in Elderly Patients with Cemented Bipolar Prosthesis. Indian J Orthop Surg. 2015;1(4):255-60.