OUTCOMES OF LONG-STEM CEMENTLESS HEMIARTHROPLASTY FOR UNSTABLE INTERTROCHANTERIC FEMORAL FRACTURES IN GERIATRIC PATIENTS: A TWO-YEAR FOLLOW-UP STUDY

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Objectives: To assess the clinical outcomes of primary long-stem cementless bipolar hip arthroplasty as a treatment option for unstable intertrochanteric femoral fractures in geriatric patients. Methods: A retrospective study was conducted on 67 elderly patients aged > 70 years old with unstable intertrochanteric femoral fractures. Clinical outcomes were assessed based on the duration of walking without support, length of hospital stay, mortality rate, Harris Hip scores (HHS), and postoperative complications. Results: The mean age of patients was 84.34 ± 6.67. Fracture types included 43 cases of A2.2, 19 cases of A2.3, and 5 cases of A3.1. The mean follow-up duration was 27.89 ± 10.24 months. The mean duration of hospitalization was 15.37 ± 5.09 days. Median HHS at the last follow-up was 81.61 ± 7.06. Postoperative complications were four cases of pulmonary infection and one case of postoperative dislocation. During follow-up, the postoperative mortality rate was 5.97%. Conclusions: Primary cementless bipolar hemiarthroplasty is a secure and effective choice for the treatment of intertrochanteric femoral fracture in the elderly.

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