Comparative outcome assessment of total hip arthroplasty versus bipolar hemiarthroplasty in intracapsular neck of femur fracture in old age

Authors

  • Sufyan M. Muslim Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra, India
  • M. B. Lingayat Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra, India
  • Prashant Bansode Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra, India
  • Arpit Kesharwani Department of Orthopaedics, Government Medical College and Hospital, Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232484

Keywords:

Total hip replacements, Bipolar hip arthroplasty, Intracapsular neck of femur fracture, Old age

Abstract

Background: This prospective study aimed to compare the outcomes of total hip replacement (THR) and bipolar hemiarthroplasty for the treatment of displaced femoral neck fractures in elderly patients.

Methods: A total of 30 patients aged over 60 years with femoral neck fractures were included in the study, with 15 patients receiving a bipolar prosthesis and patients receiving THR between June 2021 and January 2023. The patients were followed up for 6 months postoperatively, with functional analysis conducted using the modified Harris hip score.

Results: The results showed that the modified Harris hip score was significantly higher in the THR group compared to the bipolar prosthesis group at day 1, 3, 6 and 12 months postoperatively. Pain levels were similar between the two groups at all follow-up intervals. Gait and range of motion were significantly higher in the THR group compared to the bipolar prosthesis group at all-time points.

Conclusions: Based on the short-term functional outcomes of this study, THR appears to be a preferable option over bipolar prosthesis for managing femoral neck fractures in elderly.

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References

Shukla R, Singh M, Jain RK, Mahajan P, Kumar R. Functional Outcome of Bipolar Prosthesis versus Total Hip Replacement in the Treatment of Femoral Neck Fracture in Elderly Patients. Malays Orthop J. 2017;11(1):1-5.

Sharma V, Awasthi B, Kumar K, Kohli N, Katoch P. Outcome Analysis of Hemiarthroplasty vs. Total Hip Replacement in Displaced Femoral Neck Fractures in the Elderly. J Clin Diagn Res. 2016;10(5):RC11.

Sonaje JC, Meena PK, Bansiwal RC, Bobade SS. Comparison of functional outcome of bipolar hip arthroplasty and total hip replacement in displaced femoral neck fractures in elderly in a developing country: a 2-year prospective study. Eur J Orthop Surg Traumatol. 2018;28.

Shukla R, Singh M, Jain RK, Mahajan P, Kumar R. Functional Outcome of Bipolar Prosthesis versus Total Hip Replacement in the Treatment of Femoral Neck Fracture in Elderly Patients. Malays Orthop J. 2017;11(1):1-5.

Blomfeldt R, Törnkvist H, Eriksson K, Söderqvist A, Ponzer S, Tidermark J. Randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients. J Bone Joint Surg Br. 2007;89(2):160-5.

Burgers PT, Van Geene AR, Van den Bekerom MP, Van Lieshout EM, Blom B, Aleem IS, et al. Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials. Int Orthop. 2012;36(8):1549-60.

Egol KA, Koval KJ, Zuckerman JD. Handbook of Fractures. Wolters Kluwer. 2022.

Tornetta P, Ricci W, Court-Brown CM, McQueen MM, McKee M. Rockwood and green’s fractures in adults. Seventh edition. Lippincott Williams and Wilkins. 2019.

Chelius JM. A system of surgery. Edited by South JF. Edition 2nd. Lea & Blanchard, Philadelphia. 1847.

Judet J. Judet R. The use of an artificial femoral head for arthroplasty of the hip joint. J Bone Joint Surg Br. 1950;32-B(2):166-73.

D’Aubigne RM, Postel M. Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am. 1954;36-A(3):451-75.

Moore AT. The self-locking metal hip prosthesis. J Bone Joint Surg Am. 1957;39-A(4):811-27.

Hinchey JJ, Day PL. Primary prosthetic replacement in fresh femoral neck fractures. J Joint Bone Surg. 1964:64(2); 223-334.

McKee GK, Watson-Farrar J. Replacement of arthritic hips by McKeeFarrar prosthesis. J Bone Joint Surg Br. 1966;48(2):245-59.

Charnley J. Arthroplasty of the hip: a new operation. The Lancet. 1961;277(7187):1129-32.

Evarts CM. Endoprosthesis as the primary treatment of femoral neck fractures. Clin Orthop Relat Res. 1973;(92):69-76.

Greco B. Thompsons endoprosthesis in the treatment of recent fractures of femoral neck. Clin Ortop. 1975-1976;26:211-8.

Morscher E, Mathys R, Henche HR. Iso-elastic endoprosthesis- A new concept in artificial joint replacement. Engineer Med. 1976;403421.

Lausten GS, Vedel P, Nielsen PM. Fractures of femoral neck treated with bipolar endoprosthesis. Clin Orthop. 1987;218:63-7.

Bochner RM, Pellicci PM, Lyden JP. Bipolar hemiarthroplasty for fracture of the femoral neck. Clinical review with special emphasis on prosthetic motion. J Bone Joint Surg Am. 1998;7:1001-10.

La Belle LW, Colwill JC, Swanson AB. Bateman bipolar hip. Clin Orthop Relat Res. 1990;(251):20-5.

Arthroplasty for neck femur fracture. A five to ten year study. Clin Orthop Relat Res. 1990;(251):20-5.

Wolf LD, Hozack WJ, Rothman RH. Pulmonary embolism in total joint arthroplasty. Clin Orthop Relat Res. 1993;(288):219-33.

Paterno SA, Lachiewicz PF, Kelley SS. The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement. J Bone Joint Surg Am. 1997;79(8):1202-10.

Park YS, Lee JY, Yun SH, Jung MW, Oh I. Comparison of hydroxyapatite- and porous-coated stems in total hip replacement. Acta Orthop Scand. 2003;74(3):259-6.

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Published

2023-08-10

How to Cite

Muslim, S. M., Lingayat, M. B., Bansode, P., & Kesharwani, A. (2023). Comparative outcome assessment of total hip arthroplasty versus bipolar hemiarthroplasty in intracapsular neck of femur fracture in old age. International Journal of Research in Orthopaedics, 9(5), 956–961. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232484

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Original Research Articles