A comparative study of the results of unstable intertrochanteric fracture treated with cemented bipolar hemiarthroplasty with and without reconstruction of the greater trochanter

Abstract

Background: Osteosynthesis of unstable intertrochanteric fractures (IT) in elderly population, needs prolonged rest to prevent implant failure which in turn results in many complications. Cemented bipolar hemiarthroplasty has been the established method of treatment for unstable intertrochanteric fractures in literatures. Our study aimed to compare the effectiveness between reconstruction of greater trochanter V/S without reconstruction of Greater Trochanter in Unstable intertrochanteric fractures treated with cemented bipolar. Materials and Methods: 40 elderly patients with unstable IT femur fractures were included in the study of which 24 patients underwent Reconstruction of greater trochanter and in remaining 16 greater trochanter reconstruction were not done. Clinico radiological evaluation was done at 6 weeks, 3 months and 6 months. The functional outcome between the 2 techniques was evaluated using Harris hip score. Results: It was found that, there is statistically significant difference in functional outcome between the 2 groups at the end of 6 weeks, 3 months and 6 months (p<0.01). Conclusion:Our study concludes that the results of this procedure when done together with Reconstruction of greater trochanter have a better functional outcome and has no abductor lurch.