93 year old female came to us 6 days post injury with a subtrochanteric fracture. She had chest infection which was treated with antibiotics.

Options

proximal femoral nailing either gama/ recon or PFM

would you consider a cemented long stem (calacar replacement) bipolar to mobiise immediately. we did worry about embolisation and cement induced hypotension. The children from US could wait only for a month and hence arthroplasty was decided.

We did a long stem bipolar, mobilised day 2 and home by 6th postop day. Unfortunately patient died at home during sleep 3 weeks postop.

? pe