Use of Cemented Standard Stem Arthroplasty for Unstable Inter Trochanteric Fractures in Elderly Patients

Abstract Background The treatment of unstable intertrochanteric fracture in the elderly patient is still controversial. Traditionally, internal fixation using a dynamic hip screw was of choice. Recently, some authors advocated the use of cemented arthroplasty which results in better functional outcome. Aim and Objectives to assess use cemented standard stem arthroplasty for treatment of unstable intertrochnteric fractures in elderly patients to detect functional outcomes and complications. Subjects and Methods This was single arm clinical trial, was conducted in Ain Shams University Hospitals and Dar El-shefa hospital on 20 patients with unstable inter-trochanteric fractures in12 months. Result There was high statistically significant difference between Harris hip score at different periods. Conclusion Primary cemented arthroplasty is an effective treatment option for the unstable intertrochanteric femur fractures in the elderly when compared to open reduction and internal fixation. Cemented fixation is recommended in the elderly patients with osteopenic bone. Results of cemented arthroplasty in the treatment of unstable intertrochanteric femur fractures are affected by the age and sex of the patients, and medical comorbidities. Long term evaluation of the results of cemented arthroplasty in the treatment of unstable intertrochanteric fractures in elderly is recommended to assess the survivorship of the prosthesis and to evaluate the patient response to the cemented arthroplasty.