Primary modular straight stem cemented prosthetic replacement for unstable, comminuted intertrochanteric fracture in the elderly with severe osteoporosis

fixing the unstable comminuted fractures in these patients still carries a high risk of failure.Elderly patients are often unable to co-operate with partial weight bearing; hence the primary stability of the device is crucial in allowing an early mobilization and preventing the cardio-pulmonary complications.Reports show that stability of the cemented prosthesis complex is significantly greater than 2 any nail-reduction complex .Early weight bearing and mobilization, and rapid return of patients to their pre-fracture status constitute the basis of primary cemented arthroplasty.While primary arthroplasty is a standard procedure for intracapsular fracture of neck of femur, little support extends to applying this procedure in the intertrochanteric 3 fractures.Vidal, et al were the first to propose primary arthroplasty in treating trochanteric fractures towards the end of 1970's.Many studies have