COMPARATIVE STUDY BETWEEN INTRAMEDULLARY FIXATION AND ARTHROPLASTY FOR THE MANAGEMENT OF UNSTABLE TROCHANTERIC FRACTURE IN ELDERLY

Abstract

At one year post-operatively, both PFN and hemiarthroplasty showed similar results in term of post-operative complication, radiological and clinical outcome. Although PFN was favoured by less operative time and blood loss, reoperation rate was higher but statistically insignificant. We concluded that hemiarthroplasty could be valid option in management of unstable trochanteric fractures in elderly, giving the advantage of early full weight bearing, yet it is more technically demanding, require higher surgical experience.