Functional Outcome of Bipolar Hemiarthroplasty for Fracture Neck Femur

Abstract

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.