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

Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1

Abstract

Introduction: A much controversy exists regarding treatment of neck of femur fractures in elderly. Currently, choices available for an orthopaedic surgeon for treating these fractures in elderly are unipolar hemiarthroplasty, bipolar hemiarthroplasty and total hip arthroplasty. One of the most common treatments of displaced fracture of femoral neck in elderly is bipolar hemiarthroplasty. This study was conducted to evaluate functional outcome of fracture neck of femur treated with cemented bipolar hemiarthroplasty in elderly. Materials and Methods: Fifty patients of femoral neck fracture were operated by hemiarthroplasty from August 2013 to February 2016 and their functional outcomes were assessed on the basis of modified Harris Hip Score. Results: At the end of 12 months after surgery, the functional results were analyzed. All patients were in the age group of 50-85 years with mean average age of 62.09 years for males and 69.42 years for females. 48% percent of the patients had subcapital fracture radiologically, while 52% had Transcervical. In 68% of cases, the mode of injury was trivial trauma. Complications observed were superficial infection of the wound in one patient and post-operative dislocation in another patient. There were 64% excellent results, 28% good results and 8% fair results. No poor results were found in our study. Conclusions: Elderly patients with displaced fracture of neck femur are able to ambulate early after Cemented bipolar hemi arthroplasty. The complication rate is low and pre injury functional status is restored in majority of patients

Authors and Affiliations

Dr. Kalpeshkumar C Patel, Dr. Niravkumar Moradiya, Dr. Parth Gawatre, Dr. Tarun V Desai

Keywords

Related Articles

Radiographic signs of retroversion of acetabulum in adult Indian population, retrospective observational study

Introduction: Hip joint is commonly affected by osteoarthritis in Indian population and incidence of pain in hip and osteoarthritis is increasing in Indian population also. Retroversion of acetabulum is a type of hip dys...

Study of fractures treated with anatomical plates in lower limb

Introduction: It is a study of biological plating at various situations. Biological is a least contact plate designed for use in specific anatomical regions such as the proximal & distal femur, proximal & distal tibia. M...

Functional outcome of arthroscopic anterior cruciate ligament reconstruction with double mini incision bone patellar tendon bone graft

Introduction: Anterior cruciate ligament injury is quite common in young active individuals. Non-surgical methods leads to early osteoarthritis and painful meniscal tears. There are variety of surgical methods from inter...

The functional outcome after cemented total knee replacement for primary osteoarthritis

Introduction: The use of computer-assistance during surgery has great advantages because many of the traditional, space occupying instruments that are used with traditional surgery are completely eliminated_ Instead, a n...

Management of idiopathic clubfoot by Ponseti’s technique

Background and objective: Idiopathic Congenital Talipes Equinovarus (CTEV) is a complex deformity that is difficult to correct. The treatment of clubfoot is controversial and continues to be one of the biggest challenges...

Download PDF file
  • EP ID EP499758
  • DOI 10.22271/ortho.2017.v3.i1e.48
  • Views 100
  • Downloads 0

How To Cite

Dr. Kalpeshkumar C Patel, Dr. Niravkumar Moradiya, Dr. Parth Gawatre, Dr. Tarun V Desai (2017). Early outcome of hemireplacement arthroplasty using cemented bipolar prosthesis in fracture neck femur in elderly: A study of 50 cases. International Journal of Orthopaedics Sciences, 3(1), 303-307. https://europub.co.uk/articles/-A-499758