Result of Primary Hemi-replacement Arthroplasty in Case of Unstable Trochanteric Fracture in Elderly Age.

Background: In this study, we wanted to evaluate the results of unstable inter-trochanteric fractures treated with primary hemi-replacement arthroplasty in elderly with regard to function restored, morbidity, associated complications, pain score in post-operative period and mortality. Materials and methods: This was a hospital based longitudinal interventional study conducted among 35 patients who presented with peri-trochanteric fractures to the Department of Orthopaedics in M.K.C.G. Medical College and Hospital, Berhampur, Gangnam, Odisha, over a period of one year after obtaining clearance from Institutional Ethics Committee and written informed consent from the study participants. Results: Most of the patients were reported with satisfactory outcome at the end of the study. Younger age group patients, male patients had better outcome. Patients with Evans type II fracture type had better outcome than the type III variety. Female patients specially having some form of co-morbidity had less favourable outcome. A significant relationship between early post-operative weight bearing and good functional outcome with fewer incidences of complications was noted. Better fracture stability led to better outcome. Our study was limited in aspects like small sample size, short duration of follow-up with variable patient characteristics. Conclusion: Primary hemi replacement arthroplasty is a good treatment option in treating unstable trochanteric fracture in elderly patients. [ABSTRACT FROM AUTHOR]