A clinical study of Management of intracapsular fracture neck of the femur in elderly with Bipolar Hemiarthroplasty

Abstract

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.

Functional assessment of bipolar hemiarthroplasty versus total hip replacement in trans cervical neck fracture of femur in elderly patients a prospective observational study

“…In a study done by Naidu et al, seven patients have varying degrees of limping. 24 All of them had slight limps. Alteration in the abductor mechanism due to the excision of a little more neck is the most probable cause for this.…”

“…There was a significant difference in pain at 6 months and 12 months between THA and BHA (p<0.05). Mean±SD of pain at 6 months and 12 months in THA were 32.93±6.36, 39.47±5.63 respectively which was higher as compared to BHA 26.67±7 24. (p value=0.018), 32±7.75 (p value=0.005) Subith S et al Int J Res Orthop.…”