Volume : 5, Issue : 7, July - 2016

long stem bipolar in segmental fractures femur

Prof. A. Suresh Kumar, Dr. Babu Alloy, Dr. Arokia Amalan

Abstract :

<p>&nbsp;Proximal femoral fractures require early operative stabilization to enable early mobilization especially in the elderly. This is to prevent the development of the complications, which result from prolonged immobilization, such as Orthostatic pneumonia, urinary tract infection, pressure sores and venous thromboembolism. Various methods can be used for stabilization of these fractures, like the dynamic hip screw, the angled blade plate or the intramedullary nail with proximal lag screw (trochanteric Gamma nail, proximal femoral nail or reconstruction nail). However, in certain proximal femoral fractures such as subtrochanteric fractures with associated femoral neck fractures, periprosthetic fractures and pathological fractures, the use of standard methods of fixation may not be feasible. In such cases, the use of long femoral stem component provides adequate and immediate stabilization of the fracture. We report a case where we employed the use of long femoral stems to treat such fractures. The patient is 76 yr old female with malunited trochanter on oneside and other side has got neglected # neck of femur with proximal # shaft of femur with roational displacement.We at Dept.of orthopaedics,Tirunelveli medical college hospital did longstem bipolar hemiarthroplasty and mobilized the patient from 3 P.OD</p>