CEMENTLESS BIPOLAR LONG STEM HEMIARTHROPLASTY FOR INTERTROCHANTERIC FRACTURES IN ELDERLY PATIENTS AT CAN THO CENTRAL GENERAL HOSPITAL

Objective: To evaluate the outcomes of cementless bipolar long stem hemiarthroplasty for the treatment of intertrochanteric fractures in elderly patients at Can Tho Central General Hospital. Subjects and Methods: A prospective, cross-sectional study was conducted on 41 patients, aged 60 years or older, who underwent surgical treatment for intertrochanteric fractures at the Center for Trauma and Orthopedics of Can Tho Central General Hospital, between May 2022 and June 2024. Results: The average age of patients was 80.27 ± 8.385 years, with 87.7% being female. Domestic accidents were the cause of fractures in 97.6% of cases. Diabetes was present in 87.8% of patients, and 63.42% had A2.3 grade intertrochanteric fractures. After surgery, 90.2% of patients experienced limb shortening of less than 1 cm. The average VAS (Visual Analog Scale) score significantly decreased post-surgery (p < 0.001). Hip function assessment showed "very good" and "good" outcomes in 60.97%, 92.68%, and 95.12% of patients at 1 month, 1 year, and 2 years postoperatively, respectively. Three patients experienced postoperative complications. Conclusion: Cementless bipolar long stem hemiarthroplasty is an effective treatment for intertrochanteric hip fractures in elderly patients, providing favorable outcomes with minimal complications.