European Journal of Molecular & Clinical Medicine

Introduction: An intertrochanteric femur fracture is one of the most important health problems amongst the elder population.
Aim: To evaluate the functional outcome and complications of cemented bipolar arthroplasty in unstable intertrochanteric femur fracture in Indian elderly patients.
Methods: This study was conducted in the Department of Orthopedics, SMS medical college, and associated groups of hospitals, Jaipur between July 2017 to Dec 2019. 30 cases of unstable [four-part] Trochanter fracture have been included in this study.
Results: The average age of the study patient was 75 years with the involvement of the left side in 55%. There was no case with the poor radiological result. There were two cases reported with limb lengthening less than 2 cm, and two patients with limb shortening one with < 2cm and one with > 2cm but these patients had good harris hip scores. At the final 1-year follow-up harris hip scoring system, 36-36% of patients had an excellent result, 46.66% had a good result, 10% of patients have fair results and 6.66% have a poor result. The patients who showed poor scores suffered from multiple medical problems and poor preoperative general physical health.
Conclusion: According to our result, we believe that cemented bipolar hemiarthroplasty is of choice in the freely mobile elderly patient above seventy years of age with an intertrochanteric femoral fracture.

Objective: To evaluate clinical and functional outcome of unstable intertrochanteric and subtrochanteric fractures of femur treated with proximal femoral nailing with trochanteric stabilization plate.
Methods: In our study we included twenty patients of unstable intertrochanteric and subtrochanteric fracture of femur fixed with proximal femoral nailing with trochanteric stabilizing plate. Our study design is prospective and observational. Our study has maximum follow up of eighteen months and minimum of three months. Patients from third decade of life and onwards, presenting to orthopedic outpatient department in casualty or regular OPD with history pf household fall or minor or moderate trauma or sometime with road traffic accident.
Results: Twenty patients with unstable intertrochanteric and subtrochanteric fracture of femur fixed with proximal femoral nailing with trochanteric stabilizing plate, it was observed that six (30%) patients with Harris hip score between 90-100, nine (45%) patients with Harris hip score between 80-89, three (15%) patients with Harris hip score between 70-79 and two (10%) patients with Harris hip score between < 70. Also twenty patients we observed six (30%) patients with excellent result, nine (45%) with good result, three (15%) with fair result and two (10%) with poor result. There was three patients with infection, in one patient infection got resolved but in two patient’s early removal of implant was done. And in one patient both hip screws were broken after one month of surgery.