Prospective randomised control study of bipolar versus unipolar prosthesis in the management of fracture neck of femur in elderly patients
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction: In elderly patients suffering from a displaced femoral neck fracture, a cemented hip arthroplasty (HA) has been shown to reduce the reoperation rate and give better hip function. When using an HA two types of prosthesis exsists- unipolar or bipolar. It is hypothesized that bipolar prostheses lead to better long-term functional outcomes with less complications. Aim of this study is to compare the results of unipolar (Austin Moore’s Prosthesis) and bipolar hemiarthroplasty done at our institution. Materials & Methods: This is a randomized control trial including 100 patients with fracture neck of femur, equally divided into 2 groups of 50 each. Patients in Group-A were treated using unipolar Austin Moore’s Prosthesis (AMP) and in Group-B were treated using Bipolar prosthesis. Patients were assessed clinically based on Harris hip score, and radiologically for acetabular erosion according to the method described by Baker. Results: 66% of patients with bipolar prosthesis reported minimal or no pain at follow-up compared to 65% of patients with Moore’s prosthesis. Hip function according to the HHS was similar at both follow-ups. Acetabular erosion was observed in 2 patients belonging to the Moore’s group but not in the bipolar group. Other complications were similar in both groups. Discussion: Hemiarthroplasty, as an effective technique for displaced femoral neck fractures. Controversy has persisted for a long time regarding the use of bipolar versus unipolar prosthesis. The results of our study did not demonstrate any differences between the two groups. However, at a mean follow up of one year signs of acetabular erosion were more frequent after the unipolar HA, but this difference was not statistically significant. Conclusion: This study suggests that Bipolar HA is associated with similar improvement in hip functionality, hip pain, and quality of life compared with Unipolar HA and that there are no significant differences between Bioplar HA and Unipolar HA at 1year follow up.
Authors and Affiliations
Naveen PR, Kiran Kumar HG, Chaitanya PR, Ramachandra N Badami
Keywords
Related Articles
- EP ID EP486810
- DOI 10.22271/ortho.2018.v4.i2h.77
- Views 97
- Downloads 0
Short term outcome of use of proximal humerus locking plate as a treatment of proximal humerus fracture using constant score
Objective: This study focuses on short term outcome of use of proximal humerus locking plating as a treatment of proximal humerus fracture using Constant Score. Introduction: Proximal humerus fractures are one of the mos...
Functional and radiological outcome of intertrochanteric fracture treated with proximal femoral nail
Intertrochanteric fractures are one of the most common fractures of the elderly due to simple fall but can also occur in younger age group after high energy trauma. Both male and female are equally affected irrespective...
A study on core cut biopsy in bone lesions
To study the histopathology of bone lesion received as core cut biopsy and the adequacy of core cut biopsy in diagnosis of bone lesion. Between June 2012 to May 2013, 90 core cut bone biopsy for histopathology were inclu...
Giant cell tumor of the extensor tendon sheath of hand presenting clinically as De’Quervains tenosynovitis: A case report
Giant-cell tumor of the tendon sheath is an extra articular, localized, solitary, firm, benign, soft tissue tumor that usually presents with painless swelling for several years. Although giant cell tumors (GCT) are consi...
Comparative study of simultaneous and staged bilateral non-cemented total hip replacement in young active adults in terms of cost effectiveness and improvements in Harris hip score
Objective: To compare the outcome of simultaneous versus two staged Non-cemented Total hip Arthroplasty (THA) in terms of cost effectiveness and improvement in Harris Hip Score (HHS) Material and methodology: This compar...