Early outcome of hemireplacement arthroplasty using cemented bipolar prosthesis in fracture neck femur in elderly: A study of 50 cases

Abstract

A prospective study was done on 21 patients with mean age of years (range yrs) underwent arthroscopic Bankart repair with suture anchors for anterior shoulder instability at Sports Injury Centre, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore. The study was conducted from 2014 to 2016 with a minimum follow-up of 1 year. Functional outcome was assessed with two outcome measuresWalch-Duplays and UCLA scoring system. Range of motion, recurrence rate and patient satisfaction were evaluated. Functional outcome was good to excellent in most of patients, 2 patients (9.5%) had fair results and one patient (4.7%) had poor scoring. Most of patients showed improvement in range of motion with one patient didn't show improvement. Rate of recurrence was 4.7% (1 patient out of 21). In Conclusion, Arthroscopic Bankart repair for anterior shoulder instability provides good to excellent functional outcome, improved range of motions and low recurrence rate.

Intracapsular Femoral Neck Fractures

“…22,23 Cemented hemiarthroplasty is recommended by The Scottish Intercollegiate Guidelines and other various studies. 18,24,25 Quite appreciable short and long term results have been obtained by using cemented bipolar hemiarthroplasty. 16 In total hip replacement technique, use of uncemented hydroxyapatite coated femoral stems also give satisfactory long term outcome in the form of prosthesis survival.…”

Intracapsular Femoral Neck Fractures

“…17 Bipolar prosthesis reduces acetabular erosion and increases life time and function of the prosthesis. 18,19 In a study Jia Zet al reported that both techniques are equally effective bipolar hemiarthroplasty have n superiority over unipolar hemoarhtroplasty. 4 As compared to bipolar hemiarthroplasty, bipolar hemiarthroplasty provides poorer or similar 20 results and also better pain control and function.…”

“…22,23 Cemented hemiarthroplasty is recommended by The Scottish Intercollegiate Guidelines and other various studies. 18,24,25 Quite appreciable short and long term results have been obtained by using cemented bipolar hemiarthroplasty. 16 In total hip replacement technique, use of uncemented hydroxyapatite coated femoral stems also give satisfactory long term outcome in the form of prosthesis survival.…”