Outcome of primary cemented bipolar hemiarthroplasty in older patients with unstable hip fracture: A prospective study

Is Cemented Bipolar Hemiarthroplasty Good Choice for Unstable Intertrochanteric Fractures in Elderly: Multicenteric Prospective Study at Karachi

“…In the current study we have included 38 patients and all underwent for PCBH for the treatment of UIF, the average of our patients was 68.50 years, which is slightly lower than the studies conducted by Elhadi et al, Sinno et al and Sancheti et al 2,12,13 Most of the patients were females (60.5%) in our study, similar in the study by Elhadi et al majority of the patients were females (62%). 2 The majority of our patients had Evan type IV, similarly in the study by Elhadi et al most of the patients had type IV whereas in the study by Rodop et al majority of the patients had type III. 2,14 Our study showed one death due to respiratory distress at 6 th month, where 2 deaths occurred at 1 year due to cardiopulmonary problem.…”

“…As a consequence, anatomical reduction of these fractures is difficult to obtain and maintain, often resulting in malunion, non-union, or reduction failure. 2,5 Many scholars have proposed PCBH for the care of UIF in elderly patients to reduce the post-operative problems associated with internal fixation. PCBH allows for early mobilization and sufficient fixation, reducing the risk of postoperative complications such as pneumonia, atelectasis, pressure sores, and pseudoarthrosis.…”

“…1 The intertrochanteric fracture around the hip is the frequent fractures in these older adults, accounting for 48% of all hip fractures and predicted to rise rapidly in the next decade as life expectancy and osteoporosis increase. 2 Stable intertrochanteric fractures 3 can be managed with osteosynthesis with consistent successful outcomes, while unstable intertrochanteric fractures (UIF) are more difficult to handle due to the difficulties of achieving anatomical reduction and related comorbid conditions that raise the risk of morbidity and mortality 4,5 In the elderly, an hip fractures are associated with a 20% mortality rate. 6 Intertrochanteric femur fractures account for 50% of all hip fractures resulting from a low-energy mechanism, like a fall from standing height.…”

“…However, different studies have identified technical and mechanical problems, and no one can guarantee complete fracture stabilization and full bone union in elderly patients. 2,5 As a result, primary cemented bipolar hemiarthroplasty (PCBH) has emerged as a viable therapeutic option with the advantages of rigid internal fixation, early mobilization, and less post-operative complications. 5 Research shown that a PCBH had better outcomes in terms of shorter operation time, less blood loss, no dislocation and lower cost as compared to total hip arthroplasty 8 in elderly UIF patients 9 .…”

Mortality incidence and its determinants after fragility hip fractures: a prospective cohort study from an Egyptian level one trauma center

“…Mortality reports at 1-year from developing countries also showed variable rates, in Thailand, it was reported to be 18% 36 , 30% and 35% in Brazil 37 , 38 , Tunisia, Saudi Arabia and Sudan (representing an African and Middle East countries) the rates were 28.4% 15 , 26.98% 39 and 16.7% 40 respectively.…”