Abstract:
Introduction
Intertrochanteric fractures are those occurring in the region extending from the
extracapsular basilar neck region to the region along the lesser trochanter. A proximal femur
or hip fracture remains the most common reason for an elderly person to be admitted to an
acute orthopaedic ward. An estimated 2.1 million hip fractures occurred worldwide in 2021.
Assuming there is no age-specific increase, this number is predicted to rise to 2.6 million by
2025 and 4.5 million by 2050. Estimations that include an age-specific increase give predicted
values of between 7.3 and 21.3 million by 2050.The total numbers of hip fractures continue to
increase as life expectancy continues to increase.
The aim of our study was to evaluate the increasing both morbidity and mortality
functional outcome of diaphyseal long stem bipolar prothesis in comminuted trochanteric
fractures of femur in elderly patients using Harris Hip Score
Methodology
Patients admitted in Department of Orthopedics in B.L.D.E. (DEEMED TO BE
UNIVERSITY) Shri B.M.Patil Medical College, Hospital and Research Centre, Vijayapura
with the diagnosis of comminuted trochanteric fracture. The patients will be informed about
the study in all respects and informed written consent would be obtained. Patient will be
assessed post operatively at 6 weeks, 3 months, 6 months o The period of study will be from
MARCH 2023- MARCH 2025.To maintain statistical power, the sample size was increased
by 22.5% to allow for a 22.5% dropout rate.
Results:
This study evaluated 31 elderly patients (mean age: 75.81±9.311 years) with
comminuted trochanteric femur fractures treated with a diaphyseal fitting modular bipolar
prosthesis. Most patients were aged 61-80 years (71%), with a higher proportion of females
(64.5%). Self-falls were the primary injury cause (87.1%). Functional outcomes, assessed
using the Harris Hip Score (HHS), showed a mean score of 85.19±4.377, with 64.5%
achieving "GOOD," 22.6% "EXCELLENT," and 12.9% "FAIR" outcomes. Complications
were minimal: 87.1% had none, 9.7% had leg length discrepancy (LLD), and 3.2% had
periprosthetic fracture (PPF). The prosthesis demonstrated favorable results with low
complication rates.
Conclusion: In conclusion, the use of a diaphyseal fitting modular bipolar prosthesis in elderly
patients with comminuted trochanteric femur fractures is associated with good to excellent
functional outcomes and a low rate of complications. The results of this study support the
use of this surgical method as a viable option for the management of these challenging
fractures in elderly patients
