Functional Outcome of Hemireplacement Arthroplasty done for Unstable Intertrochanteric Fractures of Femur in Elderly Patients: A Review Shrivastava Chetan*, Post Graduate, Kumar Sanjiv, Assistant Professor, Singh Sudhir, Professor & Head, Bajpai Jayant, Professor Department of Orthopedics, Era's Lucknow Medical College & Hospital, Lucknow, Uttar Pradesh, India *Corresponding author: Chetan Shrivastava, Post Graduate, Department of Orthopedics, Era's Lucknow Medical College & Hospital, Lucknow. E mail- drchetan.shrivastava@gmail.com, Mob. No.- +91 9936824852
Online published on 16 September, 2014. Abstract The incidence of hip fracture rises dramatically with increasing age. The Indian population appears particularly vulnerable to the problem of osteoporosis and hip fractures. It has been projected that by the next century 50% of all hip fractures in the world will occur in Asia. The treatment of such unstable intertrochanteric fracture is still controversial, despite the publication of reports of randomized trials and comparative studies. Excessive collapse, loss of fixation, and cut-out of the lag screw resulting in poor function remain problem associated with internal fixation of unstable intertrochanteric fracture in the elderly patient with osteoporotic bone. To allow earlier postoperative weight-bearing and to avoid excessive collapse at the fracture site, prosthetic replacement is recommended for the treatment of unstable intertrochanteric fractures, but has not gained widespread support. So, a review of functional outcome of prosthetic replacement for unstable intertrochanteric fracture was done which shows a good functional outcome, pain free joint with minimal complications. Top Keywords Unstable Intertrochanteric Fracture, Primary Hemiarthroplasty. Top |