Abstract
Objectives : The main objective of our study is to assess the effectiveness of internal Fixation by Intra Medullary Nail versus Bipolar hemiarthroplasty for the treatment of unstable intertrochanteric fracture femur method: The study was done for (18) patients with unstable intertrochanteric fracture femur. The patients were classified into 9 patients fixed with Intra Medullary Nail and 9 patients by bipolar hemiarthroplasty. the follow up period was one and half year. Results 18 patients (12 females, 6 males) with closed Unstable intertrochanteric Fracture Femur were included for analysis . the patients classified into 9 patients fixed with Bipolar hemiarthroplasty and 9 patients fixed by Intra Medullary Nail Fixation from december 2016 to May 2018 with near follow up period of one and half year .There were similar results between the two groups according to age, complications(orthopedic), Harris Hip Score, revision surgery, and at one and half year follow-up. Significant difference were found between the two groups in blood loss , blood transfusion (interaoperatively) , medical complications, time of surgery .Conclusion: These results indicate that Intra Medullary Nail has advantages than hemiarthroplasty in treatment of unstable intertroch fractures. Hemiarthroplasty has greater surgical trauma and high incidence of medical complications .