Results of cemented bipolar hemiarthroplasty in fracture neck of femur in elderly

  • Singh V Department of Orthopaedics R D Gardi Medical College, Ujjain, MP, India
  • Bhuyan B K Department of Orthopaedics R D Gardi Medical College, Ujjain, MP, India
  • Sharma S K Department of Orthopaedics R D Gardi Medical College, Ujjain, MP, India
  • Singh M P Department of Orthopaedics R D Gardi Medical College, Ujjain, MP, India
Keywords: Hemiarthroplsty, Bipolar Prosthesis, fracture neck femur

Abstract

Background: Treatment of neck of femur fractures in elderly has been controversial as restoration of pre-fracture function is the goal. Currently, choices available for an orthopaedic surgeon for treating these fractures in elderly are unipolar hemiarthroplasty, bipolar hemiarthroplasty and total hip arthroplasty. Cemented Bipolar Hemiarthroplasty appears to be the best option for fracture neck femur in the elderly population. This study was conducted with the aim to assess the functional outcome of fracture neck of femur treated with cemented bipolar hemiarthroplasty in elderly.

Material and method: Sixty patients of femoral neck fracture were operated by cemented hemiarthroplasty from June 2012 to June 2014 and their functional outcome were assessed on the basis of Harris Hip Score.

Results: There were 65 patients in this study, but on the follow up period of 2 years, 3 patients died (due to other medical reasons) and 2 patients did not revert back, so remaining 60 cases were included in the study. At 12 months of follow-up the average Harris Hip Score of 44 patients was 85.70 with a maximum score of 94.40 and a minimum score of 66.38.

Conclusion: We conclude that cemented bipolar prosthesis for treating fracture neck of femur in elderly gives good functional outcome.

Downloads

Download data is not yet available.

References

Moore AT. The Self-Locking Metal Hip Prosthesis. J Bone Joint Surg Am.1957;39:811-827.

Thompson FR. Two and a half years' experience with a vitallium intramedullaryhip prosthesis. J Bone Joint Surg Am. 1954;36:489-500.

Bateman JE. Single assembly total hip prosthesis: Preliminary report. OrthopDig 1974;2:15-19.

Charnley J. Total hip replacement by low friction arthroplasty. ClinOrthop1970;72:7-21.

Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg 1961;43B:647–663.

Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mould arthroplasty. An end result study using a new method of result evaluation. J Bone Joint Surg Am 1969;51-A(4):737-755.

Koval KJ, Zuckerman JD. Current Concepts Review: Functional Recovery after Fracture of the Hip. J Bone Joint Surg Am 1994;76:751-766.

Bath, R. Problems in the treatment of femoral neck fractures. Proceedings of the Royal Society of Medicine 1975; 63:1120-1128.

Lu-Yao GL, Keller RB, Littenberg B, Wenneberg JE. Outcomes after fracture of the femoral neck: A meta analysis of one hundred and six published reports. J Bone Joint Surg 1994;76(A):15-25.

Haidukewych GJ, Israel TA, Berry DJ. Long term survivorship of cementedbipolar hemiarthroplasty for fracture of the femoral neck. ClinOrthop2002;403:118-126

Drinker H, Murray WR. The universal proximal femoral endoprosthesis – A short term comparison with conventional hemiarthroplasty. J Bone Joint Surg1979;61A:1167-1174.

Nottage WM, McMaster WC. Comparison of bipolar implants with fixed-neck prostheses in femoral-neck fractures. ClinOrthopRelat Res. 1990Feb;(251):38-43.

Lestrange NR. Bipolar arthroplasty for 496 hip fractures. ClinOrthop 1990;251:7 -18.

LangsletE,FrihagenF,OplandV,MadsenJE.Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures.ClinOrthop Res.2014 Apr472(4)1291-9.

Maricevic A, Erceg M, Gekic K. Treatment of femoral neck fractures with bipolar hemiarthroplasty. Lijec-Vjesn 1998;120(5):121-124.

Bhandari M, Devereaux PJ, Swiontowski MF, Tornetta P, ObremskeyW,Koval KJ, et al. Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. J Bone Joint Surg Am 2003; 85:1673-1681

Moshein J, Alter AH, Elconin KB, Adams WW. Transcervical fractures of the hip treated with the bateman bipolar prosthesis. ClinOrthop 1990;251
Published
2016-06-30
CITATION
DOI: 10.5281/zenodo.3970835
Published: 2016-06-30
How to Cite
1.
Singh V, Bhuyan B K, Sharma S K, Singh M P. Results of cemented bipolar hemiarthroplasty in fracture neck of femur in elderly. ojmpc [Internet]. 2016Jun.30 [cited 2024Apr.20];22(1):25-9. Available from: https://ojmpc.com/index.php/ojmpc/article/view/24
Section
Original Article