Abstract
Purpose
To observe the follow-up results of standard cemented bipolar hemiarthroplasty with double loop and tension band wiring technique for treatment of unstable intertrochanteric hip fractures in elderly patients with osteoporosis.
Materials and Methods
From May 2000 to May 2006, 86 cemented bipolar hemiarthroplasties were performed in elderly patients who had unstable intertrochanteric fractures. The mean age at the time of surgery was 82 years old. The average follow-up period were 5.3 years. We evaluated post-operative results after operation by clinical and radiographic methods.
Results
Clinically, the final follow-up of Harrsi hip score was noted 79.2. The mean time needed for full weight bearing following surgery was 4.2 weeks and 82.5% of patients regained their preoperative ambulatory level. All patients achieved union in lesser trochanter fracuture, but great trochanter displacement were observed in 4 cases.
There was one case of acetabular erosion. Post-operative superficial infections were found in 2 cases. 1 case with stem subsidence(<5 mm) showed satisfactory results without further subsidence in follow-ups.
Conclusion
If we properly apply indications in technique with cemented bipolar hemiarthroplasty in the treatment of unstable intertrochanteric hip fracture in elderly, we will achieve systematic postoperative rehabilitation, pain control and handy nursing which is its one of merits.
