A study on clinical and radiological outcome of intracapsular fracture neck of femur in elderly treated with cemented bipolar prosthesis

Abstract

Background: Hip femoral neck fracture (FNF) accounts for 50% of all geriatric patient's hip fractures. Elderly femoral neck fractures are common with a significant health concern. PPF surgical care can be physically demanding due to severe inflammation, dislocation, and intraoperative fractures, with a high risk of complications. There were some prosthetic designs recorded. Aim and Objective: The aim of study was to evaluate the clinical and radiological outcome of intracapsular fracture neck of femur in elderly treated with cemented bipolar prosthesis Methodology: A prospective study to analyze the outcome of management of intracapsular fracture neck of femur in elderly treated with cemented bipolar prosthesis. Twenty cases of elderly patients with fractured neck of the femur above the age of 56 years with management of intracapsular fracture neck of femur in elderly treated by cemented bipolar prosthesis in the Department of Orthopaedics between September 2018 to April 2020. The short-term functional results were analyzed by using a modified Harris hip scoring system. Results: The patients considered were in the age group of 56 to 78 years with a mean average age of 65.25. The majority of the fractures were sub capital fractures. Our study recorded all the research participants with prosthesis as Cemented bipolar. However, even after using a Cemented bipolar prosthesis, the majority of the study participants (70%) did not experience any complications after the surgery. The medication of choice for femoral neck fractures in patients older than 60 years is cemented bipolar prosthesis. The minimal utility of bipolar hemiarthroplasty has been shown. The cemented bipolar prosthesis should be carried out in a decent setting with a medium to wide trauma or orthopedic center by a professional surgeon. The utilization of an anterior solution to the hip encourages the patient to use it. Conclusion:We conclude that management of intracapsular fracture neck of femur is a good option in elderly treated with cemented bipolar prosthesis. No mortality was observed during the study. The morbidity is not high; the operative procedure is simple, complications are less disabling.