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Objective: To compare the results of trochanteric fixation nailing (TFN) and cemented bipolar hemiarthroplasty in unstable osteoporotic intertrochanteric neck femur fractures in elderly patients. Method: Thirty patients, 65 years or older with unstable osteoporotic intertrochanteric neck femur fractures were treated with either trochanteric fixation nailing or cemented bipolar hemiarthroplasty. Results were evaluated by Harris Hip Score. Results: Average age of patients for TFN and hemiarthroplasty was 75.73 ± 6.57 years and 78.07 ± 6.16 years respectively. Average trauma surgery interval for TFN and hemiarthroplasty was 5.7 days and 6.56 days respectively. Average surgery time for TFN and hemiarthroplasty was 74.33 minutes and 86.33 minutes respectively. Average stay in the hospital for TFN and hemiarthroplasty group was 18.23 days and 18.77 days respectively. In TFN group fourteen fractures were A2.2 type and in hemiarthroplasty group thirteen fractures were A2.2 and rests were A2.3 in both groups. The average blood loss for TFN and hemiarthroplasty was 132.5 millilitres and 300 millilitres respectively. Full weight bearing was achieved in TFN and hemiarthroplasty group after 49.33 ± 5.47 days and 5.8 ± 1.45 days respectively. Functional results using Harris hip score at three months, six months, and one year are better in hemiarthroplasty group but almost similar at one and half year. Conclusion: Primary hemiarthroplasty provides a stable pain free mobile joint and is a better modality of treatment in osteoporotic elderly people who sustained unstable intertrochanteric fractures. It definitely reduces morbidity. However overall long term functional outcomes are almost similar for two groups.

iosr journal of dental and medical sciences

Comparative study between trochanteric fixation nailing and cemented bipolar hemiarthroplasty for the treatment of unstable osteoporotic intertrochanteric neck femur fractures in elderly patients