Functional outcome of intracapsular neck of femur fracture treated in elderly with bipolar hemiarthroplasty at tertiary health care center
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251746Keywords:
Functional outcome, Femoral neck fracture, Bipolar hemiarthroplasty, Elderly, Harris hip scoreAbstract
Background: Fractures of the neck of the femur are common in the elderly and are expected to rise significantly due to increased life expectancy. While conservative management has limited indications, surgical intervention remains the standard of care. Among surgical options, open reduction and internal fixation have shown high failure rates due to nonunion and avascular necrosis, leading to revision surgeries and increased morbidity. Aim of study was to evaluate the functional outcomes of intracapsular neck of femur fractures in elderly patients treated with cemented bipolar hemiarthroplasty.
Methods: This prospective observational study was conducted at a tertiary care hospital and included 60 patients aged 60 years and above with intracapsular femoral neck fractures. All patients underwent cemented bipolar hemiarthroplasty. Functional and clinical outcomes were assessed using the Harris hip score (HHS) during follow-up visits. Patient consent and comprehensive clinical evaluations were obtained on admission.
Results: The mean patient age was 69.88 years, with 55% females. According to Garden’s classification, 11.7% had grade I/II, 53.3% grade III, and 35% grade IV fractures. At 3 months post-surgery, 45% had poor, 43.3% fair, and 11.7% good functional outcomes.
Conclusions: Cemented bipolar hemiarthroplasty for intracapsular femoral neck fractures in the elderly offers favorable functional outcomes, reduces complications associated with prolonged immobilization, and facilitates early rehabilitation and return to activity.
Metrics
References
Dhanwal DK, Dennison EM, Harvey NC, Cooper C. Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop. 2011;45(1):15. DOI: https://doi.org/10.4103/0019-5413.73656
Marya SKS, Thukral R, Singh C. Prosthetic replacement in femoral neck fracture in the elderly: results and review of the literature. Indian J Orthop. 2008;42(1):61-7. DOI: https://doi.org/10.4103/0019-5413.38583
Barnes R, Brown JT, Garden RS, Nicoll EA. Subcapital fractures of the femur: A prospective review. J Bone Joint Surg Br. 1976;58(1):2-24. DOI: https://doi.org/10.1302/0301-620X.58B1.1270491
Parker MJ. The management of intracapsular fractures of the proximal femur. J Bone Joint Surg Br. 2000;82(7):937-41. DOI: https://doi.org/10.1302/0301-620X.82B7.0820937
Krishnan J, Kumar VK. Austin Moore hemiarthroplasty visa vis bipolar arthroplasty in the management of neck of femur fractures. Int J Prevent Therapeut Med. 2014;1(2):10.
Mishra AK, Chalise PK, Shah SB, Adhikari V, Singh RP. Comparative study in surgical outcome of intracapsular fracture neck of femur in active elderly patients treated with hemiarthroplasty with Austin Moore’s and bipolar prosthesis. Nepal Med Coll J. 2013;15(1):81-3.
Somashekar SV, Murthy JS. Treatment of femoral neck fractures: unipolar versus bipolar. hemiarthroplasty. Malaysian Orthop J. 2013;7(2):6. DOI: https://doi.org/10.5704/MOJ.1307.007
Rawate P, Kale AR, Sonawane CS. Functional Outcome of Cemented Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fractures of Femur in Elderly: An Indian Perspective. Int J Sci Stud. 2017;5(5):48-53.
Sharanprasad AH, Pattanashetty OB, Biradar R. Prospective study in surgical management of femur neck fracture with hemiarthroplasty using modular bipolar prosthesis. Int J Orthopaedics Sci. 2019;5(1):70-4. DOI: https://doi.org/10.22271/ortho.2019.v5.i1b.16
Downloads
Published
How to Cite
Issue
Section
