Aim & Objectives: The aim of the present investigation is to evaluate the results of bipolar hemiarthroplasty with respect to pain, range of motion, clinical functional outcome and complications in cases of Intra capsular fracture neck of the femur treated with bipolar hemiarthroplasty. Methodology: It is prospective observational study consists of 22 adult patients of Intracapsular fracture neck of the femur, who are treated with Bipolar hemiarthroplasty in NRI Medical College & general hospital, Guntur from 01-07-2017 to 31-06-2018.Results: This series consisted of 22 cases of intracapsular fracture neck femur treated surgically by Bipolar hemiarthroplasty. In the present study, out of the 22 patients 14 were females accounting to 63.64% and 8 were males making up the remaining 36.36%. Females are more affected than males. Age of all the patients in this study, ranged above 60 years. Majority of the patients were in the age group between 60 to 70 years. In this study group, left side (54.55%) was more commonly involved than the right (45.45%). The average interval between admission to the hospital and surgery was 4.5 days with a range of 2 to 15 days. The average duration of hospital stay was 15 days with a range of 7 to 30 days. The commonest mode of injury occurred due to fall on a slippery floor (86.36%) and Road Traffic Accident (13.64%). Harris hip score was used to evaluate the functional results. Using this rating scale, the functional outcome was measured. There were Seven patients (31.82%) with excellent results, Twelve patients (54.55%) with good results, Two patients (9.09%) with fair results and One patient (4.55%) with poor outcome. Conclusion:We conclude that bipolar hemiarthroplasty produces good functional outcomes with minimal complications for displaced intracapsular femoral neck fractures and has several advantages.

Background: On undisplaced scaphoid fractures treated with prolonged cast immobilisation may result in temporary joint stiffness and muscle weakness in addition to a delay in return to sports or work. Fixation of scaphoid fractures with a percutaneous screw has resulted in a shorter time to union and to return to work or sports. The purpose of this study was to evaluate the results of percutaneous screw fixation scaphoid fractures with respect to time to radiographic union and to return to work. Materials and Methods: In 20 patients with fracture of the scaphoid, fixation with a percutaneous screw was done. Time to fracture union, wrist motion, grip strength and return to work as well as overall patient satisfaction at the time of a two-year follow-up were evaluated. Results: Of the 20 patients in the study, mean radiological fracture union time was 12.2 weeks (range 8-15 weeks). Wrist function was excellent in 10 cases, good in remaining 6 cases and poor in 4 cases. Conclusion:Percutaneous herbert screw fixation is a well-documented surgical procedure. Undisplaced scaphoid fractures fixed by percutaneous headless screw fixation yield better results than patients treated conservatively. Good range of motion is achieved after fixation. It relieves pain and functional disability experienced by patients. Percutaneous screw fixation of scaphoid fractures resulted in faster radiographic union and return to function. The specific indications for and the risks and benefits of percutaneous screw fixation of such fractures must be determined in larger randomised prospective studies.