scholarly journals Functional outcome of intertrochanteric fractures treated with bipolar hemiarthroplasty

2016 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Rahul Kadam ◽  
Ritesh Sawant ◽  
Abhay Chhallani
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Weight Bearing ◽  
Treatment Modalities ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Early Weight Bearing ◽  
Non Union ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Metal Failure

<p class="abstract"><strong>Background:</strong> Comminuted intertrochanteric fractures with severe displacement are common in elderly patients. These patients have poor bone quality and conventional osteosynthetic procedures frequently lead to non-union and metal failure. The primary goals of treatment are stable fixation and early rehabilitation. There are a many treatment for intertrochanteric fractures but our study is on unstable intertrochanteric fractures which are challenging for a surgeon. The aim of this study was to evaluate the results of cemented bipolar hemiarthroplasty as an alternative to other treatment modalities such as DHS or PFN. 21 elderly patients with comminuted and unstable intertrochanteric fractures underwent cemented bipolar hemiarthroplasty<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This study includes 22 cases of intratrochantric fracture. Mean age of patients was 73.3 (range 60 - 91). All patients are treated with bipolar hemiarthoplasty. Patients are followed up for a mean period of 6 months (range 3-9 months).<strong></strong></p><p class="abstract"><strong>Results:</strong> These patients were evaluated using the Harris hip scoring system. 21 out of 22 had excellent to fair outcomes<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In our study of 22 patients, 21 had excellent to fair outcomes with primary cemented bipolar hemiarthroplasty. Bipolar hemiarthoplasty offers good functional outcome and early weight bearing and mobilization<span lang="EN-IN">.</span></p>

scholarly journals Posteromedial fragment fixation through Lobenhoffer approach in tibial plateau fractures

2017 ◽  
Vol 3 (3) ◽  
pp. 497
Author(s):  
Vijaysing S. Chandele ◽  
Abhishek P. Bhalotia ◽  
Milind V. Ingle ◽  
Maroti R. Koichade
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Weight Bearing ◽  
Oxford Knee Score ◽  
Tibial Plateau Fractures ◽  
Knee Score ◽  
Early Weight Bearing ◽  
Non Union ◽  
Approach Time

<p class="abstract"><strong>Background:</strong> <span lang="EN-GB">Management of tibial plateau fractures with coronal fractures especially posteromedial fragment is frequent and challenging. This study was conducted to </span><span lang="EN-IN">evaluate the</span><span lang="EN-GB"> functional outcome of patients with tibial plateau fractures having posteromedial fragment treated with open reduction and internal fixation (ORIF) using Lobenhoffer approach</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-GB">Thirty two patients with tibial plateau fractures having posteromedial fracture alone or part of bicondylar fracture was operated with ORIF using Lobenhoffer approach. Time to union, maintenance of alignment, rate of complications and functional outcome was assessed using Oxford knee score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-GB">The mean </span><span lang="EN-IN">time to healing was 16.4 weeks, without any complication in the form of non-union and infection. Malunion with secondary loss of alignment was seen in only one case due to fracture comminution and early weight bearing. Oxford knee score was good to excellent in all the cases. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-GB">With recent development in understanding these fractures, ORIF gives excellent to good outcome in all patients operated through Lobenhoffer approach. Long term disability can be prevented by maintenance of adequate alignment and reduction through direct visualization of fracture</span><span lang="EN-IN">.</span></p>

scholarly journals To Study the Functional Outcome of Primary Cemented Bipolar Hemiarthroplasty in the Management of Unstable Inter-Trochanteric Fracture of Femur among Elderly

2017 ◽  
Vol 4 (1) ◽  
pp. 78
Author(s):  
Parth Vinod Agrawal ◽  
Nitin Wagh ◽  
Sandeep Pangavane
Keyword(s):  
Care Center ◽  
Weight Bearing ◽  
Tertiary Care ◽  
Trochanteric Fracture ◽  
Harris Hip Score ◽  
Full Weight Bearing ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Cemented Bipolar Hemiarthroplasty ◽  
A Prospective Study

Aims and Objectives: To evaluate the results with regard to function, to restoring proper limb length after surgery and to study the associated complications in intertrochanteric fractures treated by cemented bipolar hemiarthroplasty in elderly. Methodology: This is a prospective study of 25 cases of Intertrochanteric fractures admitted to a tertiary care center between August 2013 and November 2015 treated with Cemented Bipolar Hemiarthroplasty for intertrochanteric fractures. Cases were taken according to inclusion and exclusion criteria. Results: In our study of 25 cases, there were 14 male and 11 female patients with mean age of 72.8 years. 80% of the cases admitted were due to trivial trauma, 20% due to RTA with left side being more common side affected. According to OTA classification Type 31A2.2 fractures accounted for 60% of cases &amp; Type 31A2.3 accounted for 40 %.. Mean duration of hospital stay was 13.2 days and mean time of full weight bearing was 4.7days in our patients. Excellent was seen in 24% cases Fair to Good results were seen in 72% of cases in our study according to Harris Hip Score. Conclusion: From our study we conclude that Cemented Bipolar Hemiarthroplasty for intertrochanteric fractures in elderly reduced the complications of prolonged immobilisation, prolonged rehabilitation, marked residual deformities and need for revision surgeries. The procedure offered, faster mobilization, rapid return to pre injury level, improved the quality of life.

scholarly journals Cemented hemi-arthroplasty for unstable intertrochanteric fractures in the elderly: a retrospective study

2020 ◽  
Vol 6 (6) ◽  
pp. 1166
Author(s):  
Satya R. Patra ◽  
Naresh K. Panigrahi ◽  
Madini Manoj ◽  
Saswat Samant ◽  
Hemanta K. Bamidi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Elderly Patients ◽  
Weight Bearing ◽  
Hip Dislocation ◽  
The Elderly ◽  
Treatment Method ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Early Weight Bearing ◽  
Hemi Arthroplasty

<p class="abstract"><strong>Background:</strong> Unstable intertrochanteric fractures belonging to 31A2 and A3 varieties are difficult challenges for orthopaedic surgeons, particularly in the elderly patients. Osteosynthesis by dynamic hip screw or proximal femoral nail are often plagued by complications like screw cut-out, excessive collapse and fixation failures due to osteoporotic bones. Because of these complications, patients are often kept confined to the bed which may increase the risks of pressure sores, venous thrombosis and pulmonary infections. So, it is desirable to mobilize these elderly patients as quickly as possible following surgery. In recent decades, primary hemi-arthroplasty has emerged as a valuable treatment option for mobilizing these patients early.</p><p class="abstract"><strong>Methods:</strong> We present our retrospective study on 27 patients above 60 years of age, who were managed with cemented bipolar hemi-arthroplasty after sustaining unstable intertrochanteric fractures. All the patients were operated through modified Hardinge approach. The fractured fragments were secured by stainless steel wiring, particularly the greater trochanter, wherever necessary.<strong></strong></p><p class="abstract"><strong>Results:</strong> Twenty-three patients (85%) were able to stand up with walkers by third post-operative day and were able to walk by fifth post-operative day. There was one case of hip dislocation; it was reduced under anaesthesia. No other complications were encountered at an average follow-up of 3.1 years. The Harris hip score was ‘good’ or ‘excellent’ in more than 60% patients.</p><p class="abstract"><strong>Conclusions:</strong> Cemented hemi-arthroplasty appears to be a reliable treatment method for unstable intertrochanteric fractures in the elderly and it allows early weight-bearing and rehabilitation in most patients following surgery.</p><p class="abstract"> </p>

scholarly journals Functional analysis of cemented bipolar hemiarthroplasty with medial calcar augmentation for unstable intertrochanteric fractures in elderly

2017 ◽  
Vol 4 (1) ◽  
pp. 141
Author(s):  
Sivabalan T. ◽  
Thirunarayanan V. ◽  
Senthil Kumar S. ◽  
Ramprasath D. R. ◽  
Basheer Ahmed S.
Keyword(s):  
Functional Outcome ◽  
Intertrochanteric Fracture ◽  
The Elderly ◽  
Fracture Pattern ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Excellent Outcome ◽  
Unstable Intertrochanteric Fracture ◽  
Cemented Bipolar Hemiarthroplasty

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Intertrochanteric fracture is one of the most common fractures among the elderly osteoporotic population</span><span lang="FR">, constituting about 50% of hip fractures. These fractures are managed either by fixation using dynamic hip screw (DHS), proximal femur nail (PFN) or by replacement, based on the stability of fracture pattern, age of the patient, quality of bone and associated co-morbid conditions. Prosthetic replacement which is routinely done for femoral neck fractures requires modification when done for trochanteric fractures to improve stability. This study aims to analyse the short term functional outcome of </span><span lang="EN-IN">cemented bipolar hemiarthroplasty with medial calcar augmentation for unstable intertrochanteric fractures in elderly.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Our study includes 60 patients of age more than 70 years admitted in our institution during June 2012 to September 2016 with unstable intertrochanteric fractures. All patients operated through posterior approach to hip and cemented hemiarthroplasty with medial calcar augmentation with bone graft was done. Patients were followed up for an average of period of 2 years. Functional outcome was evaluated with Harris Hip score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">28%<strong> </strong>of<strong> </strong>cases had excellent outcome. 43% of cases had good and 23% of cases had fair outcome. 2% of cases ended with poor outcome. The in-hospital mortality rate was 3.3%. The survival rate of the patients in this study at the end of one year is 85%. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Cemented bipolar hemiarthroplasty with medial calcar augumentation can be considered as a good primary option for elderly unstable intertrochanteric fracture patients with osteoporotic bones and associated co-morbidities.</span></p><p class="abstract"> </p><p> </p>

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