TITLE:
Primary Bipolar Arthroplasty in Unstable Intertrochanteric Fractures in Elderly
AUTHORS:
Ahmed Elmorsy, Mahmoud Saied, Mahmoud Zaied, Mahmoud Hafez
KEYWORDS:
Bipolar; Unstable; Intertrochanteric Fractures; Hemiarthroplasty
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.2 No.1,
February
27,
2012
ABSTRACT: Unstable intertrochanteric fracture in elderly is a challenging surgical condition with a high risk of morbidity and mortality. The aim of this study is to evaluate the results of bipolar arthroplasty as an alternative to the standard treatment of internal fixation. Materials and methods: 41 patients (22 females and 19 males) who had bipolar arthroplasty for unstable intertrochanteric fractures were prospectively evaluated. Modified lateral approach was used in all patients. Clinical evaluation was done using Harris Hip Score (HHS) and radiological follow up was done using plain X-rays. All the patients were 65 years of age or above. Follow up period ranged from (12 - 24) months. Results: During the last follow up, the Harris Hip Score ranged from 93 to 51 with a mean value 78.19. Four cases (9.76%) were excellent (91 - 100), 16 cases (39.02%) good (81 - 90), 16 cases (39.02%) fair (71 - 80) and 5 cases (12.02%) poor (= or