A PROSPECTIVE STUDY OF SURGICAL MANAGEMENT OF FRACTURE NECK OF FEMUR IN ADULTS WITH CEMENTED BIPOLAR HEMIARTHROPLASTY

Authors

  • SATYANARAYANA Y Department of Orthopaedics, Kurnool Medical College, Kurnool, Andhra Pradesh, India.
  • SIVAKUMAR C Department of Orthopaedics, Kurnool Medical College, Kurnool, Andhra Pradesh, India.
  • RAVI PRAKASH D Department of Orthopaedics, Kurnool Medical College, Kurnool, Andhra Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2024.v17i5.50307

Keywords:

Austin Moore’s prosthesis, For intracapsular fracture neck femur, Bipolar hemiarthroplasty, Harris hip score

Abstract

Objectives: Displaced femoral neck fractures are frequently treated with bipolar hemiarthroplasties. There is little long-term data regarding bipolar hemiarthroplasty. This study aims to know the clinical efficacy of bipolar hemiarthroplasty in fractured neck femur in old age people. Patients are assessed postoperatively for pain, limp, and functional activities, and a Harris hip score is used to evaluate the results.

Methods: This is a prospective study that included patients who underwent bipolar hemi replacement arthroplasty. A total 40 number of patients treated with bipolar prosthesis were assessed during our study. Both males and females were included in the study. We obtained all proper consent from patients during the study from a tertiary care hospital.

Results: In this study, a sample of 20 patients with fractures of the neck of the femur with displacement, communication, and neck resorption above 50 years old were surgically treated with hemiarthroplasty using a bipolar endoprosthesis. Postoperatively, bipolar hemiarthroplasty allows for early mobilization, pain alleviation, and a high degree of activity while posing little risks.

Conclusion: When compared to Austin Moore’s prosthesis, bipolar hemiarthroplasty had fewer complications, such as acetabular erosion and anterior thigh pain. As a result of these findings, we believe that bipolar hemiarthroplasty is the best treatment for intracapsular fracture neck femur.

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References

Langslet E, Frihagen F, Opland V, Madsen JE, Nordsletten L, Figved W. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: 5-year followup of a randomized trial. Clin Orthop Relat Res. 2014 Apr;472(4):1291-9. doi: 10.1007/s11999-013-3308-9, PMID: 24081667, PMCID: PMC3940758

Von Roth P, Abdel MP, Harmsen WS, Berry DJ. Cemented bipolar hemiarthroplasty provides definitive treatment for femoral neck fractures at 20 years and beyond. Clin Orthop Relat Res. 2015 Nov;473(11):3595-9. doi: 10.1007/s11999-015-4462-z, PMID: 26186915, PMCID: PMC4586187

Kanto K, Sihvonen R, Eskelinen A, Laitinen M. Uni-and bipolar hemiarthroplasty with a modern cemented femoral component provides elderly patients with displaced femoral neck fractures with equal functional outcome and survivorship at medium-term follow-up. Arch Orthop Trauma Surg. 2014 Sep;134(9):1251-9. doi: 10.1007/s00402- 014-2053-1, PMID: 25055754

Lind D, Nåtman J, Mohaddes M, Rogmark C. Long-term risk of reoperation after modular hemiarthroplasty: Any differences between uni-or bipolar design? BMC Musculoskelet Disord. 2023 Nov 24;24(1):911. doi: 10.1186/s12891-023-07035-z, PMID: 38001417, PMCID: PMC10668427

Filippo M, Driessen A, Colarossi G, Quack V, Tingart M, Eschweiler J. Bipolar versus monopolar hemiarthroplasty for displaced femur neck fractures: A meta-analysis study. Eur J Orthop Surg Traumatol. 2020 Apr;30(3):401-10. doi: 10.1007/s00590-019-02600-6, PMid: 31773262

Published

07-05-2024

How to Cite

Y, S., S. C, and R. P. D. “A PROSPECTIVE STUDY OF SURGICAL MANAGEMENT OF FRACTURE NECK OF FEMUR IN ADULTS WITH CEMENTED BIPOLAR HEMIARTHROPLASTY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 17, no. 5, May 2024, pp. 167-70, doi:10.22159/ajpcr.2024.v17i5.50307.

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