Objective To evaluate the methods and outcomes of uncemented long stem bipolar prosthetic prosthesis for the management of unstable intertrochanteric fractures in the elderly. Methods From July 2004 to September 2007

27 elderly patients with unstable intertrochanteric fractures

12 males and 15 females

with an age ranging from 71 to 91 were treated with uncemented long stem bipolar prosthetic prosthesis. There were 9 cases with type Ⅱ A of the fracture

11 cases with Ⅱ B

and 7 cases with Ⅲ according to Evans - Jenson classification. Results The operation was performed smoothly in all patients

and no dislocation

infection and deep venous thrombosis of lower limbs occurred. There were 3 patients lost in follow - up and 1 patient died due to sever respiratory failure during the follow - up period. The rest 23 patients were followed up for 6 to 37 months (average 19 months). No dislocation

infection

loose

sink of the prosthesis was found in all the cases during the followed - up period. Their Harris score reached 84.6. Conclusion Using uncemented long - stem bipolar prosthetic prosthesis replacement for management of unstable intertrochanteric fractures in elderly is a safe and effective method

with small trauma and lesser complications.