FUNCTIONAL OUTCOME WITH BIPOLAR HEMIARTHROPLASTY AS AGAINST TOTAL HIP ARTHROPLASTY IN INTRACAPSULAR FRACTURE NECK FEMUR
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2014, Vol 3, Issue 4
Abstract
Rationale: Internal fixation is considered a reliable method for an undisplaced intracapsular fracture and also for displaced intracapsular fractures in young patients. A unipolar or bipolar hemiarthroplasty is preferred for these fractures in elderly patients with low functional demands. However, controversy exists regarding the choice of prosthesis in patients with displaced intracapsular femoral neck fractures in relatively young and active adults. Design: 45 patients with displaced intracapsular femur neck were randomized to undergo a Total hip arthroplasty or a Bipolar hemiarthroplasty. The outcome was assessed with the use of the Harris hip score and the Mobility score of Parker and Palmer. Results: The mean age of the patients was 63.54 years. The mean blood loss was higher in Group 2 (THA) [545.24 ±134. 07 ml] as against Group 1 (BH) [443.75± 88.84 ml] (p= 0.004). The mean duration of surgery in Group 2 [121.90 ±20. 40 mins] was significantly higher as compared to that in Group 1 (BH) [87.50 ±10. 52 mins]. No significant difference was observed in the mean postoperative Mobility Score at the end of 6 months amongst the 2 groups. The Harris Hip Score at the end of 6 months was Excellent for 9 patients, Good for 27 patients, Fair for 6 patients and Poor for 2 patients. 40 patients were able to do their daily activities and 4 were unable to do so owing to their general medical condition. Conclusion: Total Hip Arthroplasty offers better functional outcome in early follow-up and can be used for treating for these fractures in this age group.
Authors and Affiliations
Tuteja Sanesh V| Senior Resident, Department of Orthopaedics, Dr. DY Patil Medical College and Hospital, Nerul, Navi Mumbai, Corresponding author email: stuteja@hotmail.com, Mansukhani Sameer A| Assistant Professor, Department of Orthopaedics, Dr. DY Patil Medical College and Hospital, Nerul, Navi Mumbai, Mukhi Shyamlal R| Professor, Department of Orthopaedics, K. J Somaiya Medical College and Hospital, Sion, Mumbai
Keywords
Related Articles
- EP ID EP11322
- DOI 10.5958/2319-5886.2014.00030.7
- Views 262
- Downloads 13
A STUDY ON RADIAL ARTERY IN CADAVERS AND ITS CLINICALIMPORTANCE
As the radial artery is the second most commonly used graft in coronary bypass (CABG)surgery(internal thoracic artery first most common)and for transcatheter coronary interventions (angioplasty),cardiac surgeons should...
ROLE OF DIETARY DIVERSITY IN ENSURING ADEQUATE HAEMATOLOGICAL STATUS DURING PREGNANCY
Introduction: Though nutrition is a key input to blood formation, little is known about the extent maternal dietary quality contributes to the haematological status of pregnant women in Northern Region of Ghana. Objec...
OSLER-WEBER-RENDU SYNDROME: A RARE CAUSE OF UPPER GI BLEED
The causes of upper gastrointestinal bleed are manifold with the most common being peptic ulcers and oesophageal varices. We present a rare cause of upper gastrointestinal bleeding due to Hereditary Hemorrhagic Telangi...
Chronic congenital systemic disorder- a hurdle in orthodontic treatment plans: Meta analysis
Aim of the study is to evaluate children taking orthodontic treatment with chronic congenital systemic disorders, and hurdle to orthodontic treatment plan and treatment mechanic during and before orthodontic treatment....
PSYCHOSOCIAL DETERMINANTS OF CONTRACEPTIVE USE AMONG WOMEN OF REPRODUCTIVE AGE IN A RURAL AREA OF MAHARASHTRA
The World Health Organisation reports that an estimated 94 per cent of the population of the world lives in countries with policies that favour family planning. Despite this, five of every six couples of reproductive ag...