Key result
Bipolar hemiarthroplasty resulted in a better average Harris hip score at 6 months compared to dynamic hip screw for unstable intertrochanteric femur fractures.
Why the study?
Intertrochanteric fractures are common in the elderly with a major healthcare impact, motivating a comparison of functional outcomes and complications between bipolar hemiarthroplasty and dynamic hip screw.
Does bipolar hemiarthroplasty improve functional outcomes compared to dynamic hip screw in elderly patients with unstable intertrochanteric femur fractures?
Cohort (n=50)
Does bipolar hemiarthroplasty improve functional outcomes compared to dynamic hip screw in elderly patients with unstable intertrochanteric femur fractures?
Bipolar hemiarthroplasty may offer better functional outcomes and lower complication rates compared to dynamic hip screw for unstable intertrochanteric femur fractures in the elderly.
Should not yet change practice for elderly unstable intertrochanteric fractures; leaves open randomized confirmation of hemiarthroplasty functional benefit.
Introduction: Intertrochanteric fractures are one of the most common fractures in elderly population and have a huge impact on the health care system of the society. Objectives: The objective of our study was to compare functional outcome and complication rates of bipolar hemiarthroplasty to dynamic hip screw which is a established procedure for unstable intertrochanteric fracture femur. Materials and Methods: The present study included 50 patients over the age of 55 years, 25 undergoing bipolar hemiarthroplasty and 25 undergoing dynamic hip screw for unstable intertrochanteric fracture femur and their functional outcomes were compared with Harris hip score. Results: We found that the average Harris hip score was better for the bipolar hemiarthroplasty group than for the dynamic hip screw group at 6 months. Conclusion: Bipolar hemiarthroplasty is an effective alternative to dynamic hip screw for unstable intertrochanteric fractures in elderly patients as it has a good function outcome and lower complication rate. A larger randomized control trial has to be conducted to arrive at a conclusion.
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Pangavane et al. (2020) conducted a cohort in Unstable intertrochanteric femur fracture (n=50). Bipolar hemiarthroplasty vs. Dynamic hip screw was evaluated on Harris hip score. Bipolar hemiarthroplasty resulted in a better average Harris hip score at 6 months compared to dynamic hip screw for unstable intertrochanteric femur fractures.
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