Introduction: Optimal therapy for unstable intertrochanteric fractures in elderly people is difficult owing to difficult anatomical reduction, low bone quality, and delayed weight bearing. The current study was designed to examine the outcome of internal fixation in comparison to primary cemented bipolar (PCB) hemiarthroplasty in elderly patients with unstable intertrochanteric fractures. Materials and Methods: The study comprised 50 adult patients with intertrochanteric fractures who were treated in a tertiary care center. Patients were separated into two groups. Primary hemiarthroplasty was performed in 25 patients (group A), while internal fixation was performed in 25 patients (group B). The primary outcome indicators included post-operative mortality, comorbidities, and functional outcomes. Results: The majority of patients who underwent hemiarthroplasty began full weight bearing at the end of the first week after surgery, whereas patients who underwent fixation began full weight bearing at the end of the seventh week, which was significant. The mean Harris Hip Score 12 weeks after surgery was 83.86 for the hemiarthroplasty group and 72.12 for the fixation group, which was significant. Postoperative complications were greater in Group B compared to Group A. Conclusion: Primary cemented bipolar hemiarthroplasty outperformed internal fixation in terms of lower complication rate and functional outcome.

Introduction: Optimal therapy for unstable intertrochanteric fractures in elderly people is difficult owing to difficult anatomical reduction, low bone quality, and delayed weight bearing. The current study was designed to examine the outcome of internal fixation in comparison to primary cemented bipolar (PCB) hemiarthroplasty in elderly patients with unstable intertrochanteric fractures. Materials and Methods: The study comprised 50 adult patients with intertrochanteric fractures who were treated in a tertiary care center. Patients were separated into two groups. Primary hemiarthroplasty was performed in 25 patients (group A), while internal fixation was performed in 25 patients (group B). The primary outcome indicators included post-operative mortality, comorbidities, and functional outcomes. Results: The majority of patients who underwent hemiarthroplasty began full weight bearing at the end of the first week after surgery, whereas patients who underwent fixation began full weight bearing at the end of the seventh week, which was significant. The mean Harris Hip Score 12 weeks after surgery was 83.86 for the hemiarthroplasty group and 72.12 for the fixation group, which was significant. Postoperative complications were greater in Group B compared to Group A. Conclusion: Primary cemented bipolar hemiarthroplasty outperformed internal fixation in terms of lower complication rate and functional outcome.