Perspectives In Medical Research (Apr 2019)
Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly
Abstract
Introduction: The treatment of choice for a displaced intracapsularfemoral neck fracture in elderly patients is hemiarthroplasty. The optimal design, unipolar or bipolar head, remains unclear. Better range of motion and less acetabular wear are the advantages of a bipolar hemiarthroplasty. The aim of this study is to evaluate the efficacy of bipolar hemiarthroplasty in fracture neck of femur in elderly in terms of quality of life, surgical outcome and complications. Materials & Methods: This study was conducted at Prathima Institute of Medical Sciences, Karimnagar from July 2015 to December 2017. 30 patients with intracapsular fracture neck of femur were included in this study. All patients underwent uncemented hemiarthroplasty with Talwalkar’s Bipolar Prosthesis. Harris hip score was used to assess the functional outcome of surgery. Results : Out of 30 patients, 23(76.6%) had excellent results with Harris hip score more than 90. Six patients (24%) had good result with Harris hip score between 80 and 90and only one patient had fair result with Harris hip score 70 to 80. Average Harris Hip Score for all the patients in the study is 90.36. Conclusion: We recommend uncemented bipolar hemiarthroplasty for displaced intracapsular fracture neck of the femur in elderly age. Easier surgical technique, low complication rate, early rehabilitation, near normal mobility and durability are the advantages over other modalities of treatment of intracapsular fracture neck of femur in elderly.
