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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 9, Issue 2, December 2013 pp 164-167

Research Article

Prospective Study to Compare Communiated Osteoporotic Traumatic Intertrochanteric Femur Fracture Treated with Primary Cemented Modular Bipolar Hemiarthoplasty with Dynamic Hip Screw Retrospectively

 

Ajay Mundada1, Paresh Patil2, R. Gunki3

1Resident, 2,3Professor, Department of Orthopaedics, Krishna Institute of Medical Sciences Deemed University, Karad, Maharashtra, INDIA.

 

 

Academic Editor : Dr. Aher K.R.

Abstract

 

This is prospective Study to compare communicated osteoporotic traumatic Intertrochanteric femur fracture treated with primary cemented modular Bipolar Hemiarthoplasty with dynamic hip screw retrospectively. In this study we aim to study of primary modular Bipolar Hemiarthoplasty in communicated osteoporotic traumatic intertrochanteric femur fracture with respect to time of mobilization ,Post operative morbidity and Limb length discrepancy and compare with retrospective Intertrochanteric femur fracture treated with dynamic hip screw. Material and Methods : In this study we included 60 patient  Intertrochanteric  femur fracture from grade A 2.2  and A 2.3  ( AO classification), above 60 year and of which 30 patients were treated with primary hemiarthoplasty and 30 cases studyied retrospectively who were treated with dynamic hip screw.  Result: In my study  mobilization is early on 3nd day with partial wt bearing in  hemiarthoplasty, but  dhs  one and half month with wt bearing.post operative morbidity  is less significant in bipolar(3%)  than dhs(50%) implant related complication like bed sore and infection is less in bipolar(8%) than dhs(40%) limb length discrepancy there is no much  shortening and lengthening in bipolar than dhs. Conclusion: We ensure early mobilization and ambulation of elderly patient, early return to preinjury level as compared to internal fixation device and less complication and failure.