Introduction: The femoral neck fracture continues to be unsolved fractures, and the guidelines for management are still evolving. Hip fractures are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients who perform in athletics or high-energy trauma. Immediate diagnosis and management are required to prevent complications. Materials and Methods: The retrospective study was done who were admitted and underwent bipolar hemiarthroplasty in the past 5 years. Results: The highest mortality was when the surgery was delayed for more than 2 months after injury. A delay of few days did not lead to increased mortality compared to other series, and cemented hemiarthroplasty does not lead to significant long-term cognitive impairment, the increasing time after surgery, there was an increasing proportion of patients with painful hip, and almost 80% of patients at the end of 5 years had poor outcome. Conclusion: The majority of the cases of fracture neck of femur in elderly was due to fall on ground indicating them to be a fragility fracture. Most of the patients were not able to squat and sit cross legged which is an important social requirement in Indian subcontinent. Hemiarthroplasty was not a good surgery for patients who have a longer life expectancy.

Introduction: Femoral neck fractures are one among the leading causes of death in elderly patients. Magnitude of fracture displacement, patient's age, comorbid disorders, and prefracture activity level are some of the critical factors in determining the clinical practice for treating femoral neck fracture. In this study, we have studied the functional outcome and survivorship in fracture neck of femur in the elderly population operated with both internal fixation (IF) and cemented hemiarthroplasty (HA). Material and Method: All 100 patients were reviewed clinically and radiologically at 15 days, 1 month, and then subsequent 1 year. Out of 100 patients, 54 have been operated with HA and 46 have been operated with screw fixation. Results: Overall reoperation rate in HA group was 5.05%, with total mortality rate being 7.4% compared to 6.5% of IF group. Out of 46 patients of screw fixation, the overall reoperation rate was 20% with 4 patients being developed avascular necrosis and 13 being developed nonunion, and rest of the patients have average Harris hip score of 60–65 with 34%, while patients having poor Harris hip score compared to those of HA with Harris hip score of 80–90 with 88.2% having excellent to fair. Conclusion: Hip arthroplasty as compared to Internal fixation for the treatment of femoral neck fractures significantly reduces the risk of reoperation at the cost of higher superficial infection and blood loss. Furthermore, postoperative function as evaluated by the Harris hip score was significantly higher in the arthroplasty compared to the IF group up to the 6-month evaluation.

Introduction: A joint is the point of connection between two bones in our body. Inflammation of joint leads to several diseases, including osteoarthritis (OA). OA is a common condition of debilitating joint disease mainly affecting the elderly. Case Report:e In this study, we had studied correlation the cases (OA with synovial effusion) and control (OA without synovial effusion) with blood parameters, radiological and synovial fluid parameters (tumor necrosis factor-? [TNF]-? levels), and the incidence of synovial effusion in radiological staging of disease. Out of 100 patients, 50 patients with OA knee with effusion and 50 patients OA knee without effusion. We concluded that incidence of synovitis knee along with raised markers of inflammation, that is, C-reactive protein, erythrocyte sedimentation rate, and synovial fluid TNF-? levels was significantly higher in Stage II of OA knee, indicating that inflammation is significant part of early OA knee. Inflammation in early part of disease can lead to articular cartilage damage and rapid progression of osteoarthritic changes. Conclusion:Our study concluded that OA is not only a degenerative disease but also there is significant contribution of inflammation in disease process. Targeting inflammation in synovium may delay/prevent articular cartilage damage and osteophytes formation, especially in early OA. Anti-TNF-? agents and anti-inflammatory drugs may be considered for definitive treatment of OA. Keywords: Tumor necrosis factor-alpha, osteoarthritis, Kellgren Lawrence.