Management of fracture neck femur treated with bipolar hemiarthroplasty in the elderly population
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Hip fractures are common and comprise about 20% of the operative workload of an orthopedic trauma unit. As life expectancy is increasing all over the world Geriatric population sustaining the Fracture neck of femur are also increasing resulting in Great burden to health of society which can be better managed with Hemiarthroplasty. The goal of the current study is to assess the functional outcome and quality of life in terms of pain, mobility, stability using Harris Hip Score Aims and objective of the study: To study the results of bipolar prosthesis with respect to pain, mobility and stability and to analyze the complications per-operative and post operative like infection, DVT, acetabular erosion, loosening and dislocation. Materials and methods: The prospective study included thirty patients with intracapsular femoral neck fractures referred to the Department of Orthopaedics, Ashwini Hospital, Gulbarga were selected for this study. Patients with intracapsular femoral neck fractures and aged above 55 years were considered. Discussion: We have excellent results in 10 cases (33.33%), good in 11cases (36.67%), fair in 7 cases (22.33%) and poor in two cases (6.67%) according to the Harris hip rating system. We got excellent to good results in 70% of the cases at a mean follow up period of six months. We analysed pain at 6 weeks, 3 months and 6 months follow up according to Visual analogue scale (VAS) in all patients. At 6 months follow up period, 70% patients had no pain (0), 20% had mild pain (1-4), 6.67% moderate pain (5-8) and 3.33% severe pain (>8). Early assisted ambulation was begun on second post operative day in our study, which probably accelerated better functional recovery. At 6 months follow up period, 70% patients were ambulatory without assistance, 23.33% patients were ambulatory with assistance (with cane). Conclusion: We came to a conclusion after treating 30 patients of intracapsular fracture neck of femur, with Bipolar prosthesis, that it has better advantage in terms of stability, mobility, range of motion, and functional outcome as per Harris hip score.
Authors and Affiliations
Dr. Vijaya Mahanth Prasad K, Dr. Sanjeev Chincholi
Keywords
Related Articles
- EP ID EP499773
- DOI 10.22271/ortho.2017.v3.i3h.90
- Views 109
- Downloads 0
Clinical profile of patients with unstable distal radius fracture
There are increasing reports of distal radius fractures suggesting that they are frequently articular injuries resulting in disruption of both radio carpal and radio ulnar joints and profoundly affecting the wrist of gre...
Effect of calcitonin in the outcome of distal radial fractures in elderly patients
Background: Distal radial fractures are common and produce significant morbidity in elderly osteoporotic individuals. Calcitonin prevents bone resorption in osteoporotic individuals and hence can reduce morbidity in the...
Outcome of dual column fixation for intra articular distal humerus fracture
Introduction: In young adults, most distal humerus fracture occurs from high energy trauma, sideswipe injuries, road traffic accidents, fall from height, and gunshot wounds. and also it follows a bimodal age distribution...
Prospective study of tens in femoral diaphyseal fractures among paediatric age group
Femoral diaphyseal fractures account for <2% of fractures among paediatric age group. However, with advancement in the field of orthopaedics, surgeons are interested in a better and more stable fixation of these fracture...
Comparative study of EUSOL and Silverstream in healing of pressure sore in traumatic spinal cord injury patients
Pressure sore is among the most common long-term secondary medical complication in persons with spinal cord injury. The majority of morbidity problems and the most frequent cause of death were sepsis associated with geni...