Publication:

Outcome analysis of primary cemented bipolar hemiarthroplasty in elderly unstable intertrochanteric fractures during covid phase in Central India

Background The incidence of inter-trochanteric fractures of the femur is very high in the elderly population. The world-wide incidence of all hip fractures is around 402 per 100000 and the incidence of Intertrochanteric fracture is estimated to be around 171 per 100000 in 2019. All the operative conditions were different during covid phase. We needed early ambulation of our patients for a faster recovery and avoid long stay in hospitals.

Methods 30 patients with unstable intertrochanteric fractures were operated by bipolar hemiarthroplasty during the covid phase. All the patients were followed up at 2, 6, 10 and 16 weeks. Harris hip score and FIM score were assessed.

Results Mean Harris hip score achieved was 87 at 16 weeks and mean FIM score achieved was 78.9 at 16 weeks indicating good functional outcomes. The outcome was excellent in 23.4%, good in 63.3%, fair in 10% and poor in 3.3% as per HHS.

Conclusions This procedure offered pain free mobile hip with early mobilization, easy rehabilitation and early return to functional level, when standard techniques were used.