Internal Fixation vs. Dual Mobility Hip Arthroplasty in Unstable Pertrochanteric Fractures in Geriatric Patients | ||||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||||
| Volume 7, Issue 1, December 2025, Page 67-76 PDF (464.48 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aujv.2025.451006 | ||||
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| Abstract | ||||
| One of the most common fractures of the hip in the elderly is the pertrochanteric fracture and usually is a result of low-energy trauma; it accounts for up to 48% of all hip fractures. To compare the functional outcome of internal fixation and dual mobility THA in the treatment of unstable pertrochanteric fractures in elderly. This prospective study included twenty patients with unstable pertrochanteric fracture femur presented to Al-Zahraa University Hospital in the period between December 2019 to March 2021, they were categorized into two groups, group Ι treated with Internal Fixation Devices and group ΙΙ treated with Dual Mobility (DM) total hip arthroplasty, patients were examined at least 6 months after the operation. The final result of the group Ι was satisfactory in 70% of patients and unsatisfactory in 30% of patients but, in group ΙΙ the result was satisfactory in 80% of patients and unsatisfactory in 20% of patients. From our results we can conclude that despite increased blood loss and operative time, arthroplasty for extra capsular pertrochanteric fractures of the upper end of femur did not increase mortality or morbidity and appeared to provide functional improvement at a low cost compared to internal fixation. | ||||
| Keywords | ||||
| Internal fixation; Dual mobility hip arthroplasty; Unstable pertrochanteric fractures; Geriatric patients | ||||
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