A Prospective Study on Management of Intertrochantric Fractures in Elderly Osteoporotic Patients using Cemented Bipolar Hemiarthroplasty

Inter trochanteric fractures or Hip fractures are devastating injuries that most commonly affect the elderly and have a tremendous impact on both the health care system and society in general. The objective is to study the age and sex incidence of intertrochanteric fracture of femur, to study the quality of life after hemiarthroplasty in intertrochanteric fractures and to study the morbidity and mortality rate associated with the procedure. A prospective study was done on 20 patients with comminuted intertrochanteric fracture treated by cemented bipolar hemiarthroplasty, conducted in Department of Orthopedics, Government Mohan Kumaramangalam Medical College, and Salem during the period of Jan 2009 to August 2010. More number of patients was in the age group of 71-75 yrs (35%), with the Mean age as 71.4years more than half of the patients (60%) had intertrochanteric fracture on their left lower limb. Most number of patients (9) had type II intertrochanteric fracture. One patient with previous implant failure was included. Type IV was not included in the study because most of them showed poor results. Many number of patients had their intertrochanteric fracture due to fall from height (40%) and Motor vehicle accident (40%). Out of 20 patients only 7 patients had associated injuries apart from their intertrochanteric fracture. Other 13 patients had no associated injuries. The greatest advantage of having this surgery is of less blood loss, less duration of hospital stay and early ambulation. This also gives way for good range of movements and leeser complications.