Abstract: Background: Intertrochanteric fractures of the femur are one of the most common fractures in geriatric population. The present study was conducted to assess the functional outcome of cemented hemiarthroplasty in comminuted intertrochanteric fracture femur in geriatric patients.
Materials & Methods: This prospective study was done in the department of Orthopaedics in J.A. Group of Hospitals, Gwalior (M.P.). After preoperative assessment cases were prepared for surgery under all aseptic precautions and prophylactic antibiotic coverage. Variables like preoperative and post-operative clinical, radiological, surgical and functional status, Harris Hip score questionnaire, preoperative workup, surgical methods and postoperative follow up were recorded.
Results: The most commonly occurs in age group of 71-80 years. Out of 30 patients, 10 were female and 20 were male showing male preponderance. Side was left in 9 and right in 21. Mode of injury was fall on ground (Trivial trauma) in 26 and road traffic accident in 4. Boyd and griffin type was III in 11 and type IV in 19. Duration from injury to surgery (days) <10 in 03, 10-20 days in 10, 21-30 in 04, 31-40 days in 05 and >40 days in 08. Size of prosthesis was 41 in 05, 43 in 05, 45 in 08, 47 in 05, 49 in 04 and 51 in 03. The difference was significant (P<0.05). Harris score 91-100 was seen in 16.6%, 81-90 in 36.6%, 71-80 in 40% and <70 in 6.6%. Out of 30 patients, 04 developed superficial infection, 01 developed deep infection, 03 had cognitive dysfunction and 04 developed abductor weakness, 02 had wire loosening which was used for greater trochanter reattachment, no patient had posterior dislocation and wound dehiscence in follow ups.
Conclusion: The geriatric mobilization and weight bearing possible with this procedure leading to the minimization of complications related to prolonged immobilization in geriatric age group patients.
