A study of hip arthroplasty using bipolar endo-prothesis for fracture neck of femur

Sakthivel, Rajarajan Nagu; Subramanyam, Balaji Ponna puvula; Balakrishnan, Vijayan

doi:10.18203/2320-6012.ijrms20160297

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Balan et al [10] described 94% satisfactory outcome in intracapsular neck of femur fracture treated with modular bipolar prosthesis. Sakthivel et al [15] showed 20% excellent results and 80% good results in a study of hip arthroplasty using bipolar prosthesis.…”

Section: Discussionmentioning

confidence: 97%

Prospective study of functional outcome in surgical management of intracapsular femur neck fracture treated using modular bipolar prosthesis in elderly

Prakashappa¹,

Shyamsundar²,

Hanumaih³

2021

Int. J. Orthop. Sci.

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Background: Displaced femoral neck fractures are common in the elderly patient, it is predicted that, the number of hip fractures would triple by 2050, and these patients are subjected to an increased disability, morbidity, and mortality. The optimal treatment for displaced fracture neck of femur with best clinical outcome is still inconclusive and determined by the mobility and functional demands of the patient. Materials and Methods: Thirty cases of fracture neck of femur in elderly patients above the age of 60 years treated by hemiarthroplasty using bipolar prosthesis between November 2018 to May 2020 were selected according to inclusion and exclusion criteria. Cases were followed up for 6 months and the short term functional results were analysed by using modified Harris hip score. Results: out of 30 patients, most of the patients were in the age group of 60 to 70 years with mean average age of 68.9 years. Females were predominant, there were 36% excellent results and 43% good results. Conclusion:Modular Bipolar hemiarthroplasty for fractures neck femur provides better range of movement, freedom from pain and more rapid return to unassisted activity with an acceptable complication rate. The end functional results depend on the age of the patient, associated co-morbidity and optimum post-operative rehabilitation. Early functional results are satisfactory.

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Section: Discussionmentioning

confidence: 97%

Prospective study of functional outcome in surgical management of intracapsular femur neck fracture treated using modular bipolar prosthesis in elderly

Prakashappa¹,

Shyamsundar²,

Hanumaih³

2021

Int. J. Orthop. Sci.

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Short Term Functional Outcome of Transcervical Neck Femur Fracture Managed With Bipolar Hemiarthroplasty

Salve

Bava

Yadav

et al. 2021

ijsr

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Background: Femoral neck fractures are commonly seen in elderly people. Hemiarthroplasty remains the most common modality of treatment with bipolar prosthesis, which claimed to have a lower incidence of complications. Hence the present study was undertaken to evaluate the functional outcome of intracapsular fracture of femoral neck with cemented or uncemented bipolar prosthesis in elderly Indian population. Method: Total 43 elderly patients were enrolled and operated after being put into lateral decubitus position by the lateral approach or posterior approach of Moore. Modied harris hip score (HHS) was used for analysis of functional outcome, X ray for radiological and patients' pain was assessed by VAS scoring and nally all three parameters compiled and analyzed. Results: The mean age of patients was 68.58 years. Majority of patients had Garden grade III (62.79%) and right sided hip fractures (72.09%). Most of the patients were managed using cemented prosthesis (74.41%) with 45mm prostheses (44.18%). On immediate post-operative assessment, 39 of the 43 patients had fair outcome. At 6 and 12 weeks, 36 and 39 patients respectively had good outcome by HHS. At 6-month follow-up, 30 patients had good outcome while 11 patients had excellent outcome and one patient was died. There was signicant decrease in the VAS score till 6-month follow-up. 40 of the 43 patients had a stable stem xation while 3 patients showed signs of unstable xation. Conclusion: Patient with fractures of the femoral neck get more pain free interval and more rapid return to unassisted activity after bipolar hemiarthroplasty with an acceptable complication rate.

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A study of hip arthroplasty using bipolar endo-prothesis for fracture neck of femur

Cited by 2 publications

References 17 publications

Prospective study of functional outcome in surgical management of intracapsular femur neck fracture treated using modular bipolar prosthesis in elderly

Prospective study of functional outcome in surgical management of intracapsular femur neck fracture treated using modular bipolar prosthesis in elderly

Short Term Functional Outcome of Transcervical Neck Femur Fracture Managed With Bipolar Hemiarthroplasty

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