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Prospective Study of Functional Outcome of Comminuted Unstable Inter-Trochanteric Fracture with Cemented Bipolar Prosthesis in Elderly Patients

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    • Laxman Choudhary, Sachin Pachori, Chetan Mehra, Mohit Kumar
,

Document Type : Research Article

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Abstract

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.

Keywords

  • Bipolar Arthroplasty
  • harris hip score
  • Intertrochanteric Femur Fracture
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European Journal of Molecular & Clinical Medicine
Volume 9, Issue 7
September 2022
Page 358-369
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  • Article View: 54
  • PDF Download: 118

APA

Kumar, L. C. S. P. C. M. M. (2022). Prospective Study of Functional Outcome of Comminuted Unstable Inter-Trochanteric Fracture with Cemented Bipolar Prosthesis in Elderly Patients. European Journal of Molecular & Clinical Medicine, 9(7), 358-369.

MLA

Laxman Choudhary, Sachin Pachori, Chetan Mehra, Mohit Kumar. "Prospective Study of Functional Outcome of Comminuted Unstable Inter-Trochanteric Fracture with Cemented Bipolar Prosthesis in Elderly Patients". European Journal of Molecular & Clinical Medicine, 9, 7, 2022, 358-369.

HARVARD

Kumar, L. C. S. P. C. M. M. (2022). 'Prospective Study of Functional Outcome of Comminuted Unstable Inter-Trochanteric Fracture with Cemented Bipolar Prosthesis in Elderly Patients', European Journal of Molecular & Clinical Medicine, 9(7), pp. 358-369.

VANCOUVER

Kumar, L. C. S. P. C. M. M. Prospective Study of Functional Outcome of Comminuted Unstable Inter-Trochanteric Fracture with Cemented Bipolar Prosthesis in Elderly Patients. European Journal of Molecular & Clinical Medicine, 2022; 9(7): 358-369.

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