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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
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.
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.