Background: Early postoperative ambulation following hemiarthroplasty for elderly patients with unstable intertrochanteric femur fractures is possible with the use of bipolar prosthesis.
Objective: to evaluate the safety and efficacy of a new surgical treatment for unstable intertrochanteric fractures in elderly patients treated with bipolar hemiarthroplasty.
Patients and Methods: Our study was done on 18 patients that experienced primary cemented bipolar hemiarthroplasty for fixation of unstable intertrochanteric fractures at Zagazig University Hospital. Patients were followed up clinically and radiologically for 6 months. Clinical evaluation was done using Harris hip score.
Results: The standard cemented bipolar hemiarthroplasty represented (61.1%) and cemented bipolar hemiarthroplasty with calcar replacement (38.9%) of line of treatment. Most of the studied group (41.2%) had excellent Harris hip score (HHS) followed by (35.3%) had good score then fair (17.6%) and lastly poor score (5.9%), with mean HHS of 83.23.
Conclusion: When treating older patients with unstable intertrochanteric fractures, primary bipolar hemiarthroplasty is a better option than open reduction and internal fixation.