Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly
Introduction: The treatment of choice for a displaced intracapsularfemoral neck fracture in elderly patients is hemiarthroplasty. The optimal design, unipolar or bipolar head, remains unclear. Better range of motion and less acetabular wear are the advantages of a bipolar hemiarthroplasty. The...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2019-04-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/files-vol7-issue1-19/venkatreddy-vol-7-issue-1-2019.PDF |
| _version_ | 1827642750230593536 |
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| author | Venkat Reddy Almareddi1 , Ram Reddy V2 |
| author_facet | Venkat Reddy Almareddi1 , Ram Reddy V2 |
| author_sort | Venkat Reddy Almareddi1 , Ram Reddy V2 |
| collection | DOAJ |
| description | Introduction: The treatment of choice for a displaced
intracapsularfemoral neck fracture in elderly patients is
hemiarthroplasty. The optimal design, unipolar or bipolar head,
remains unclear. Better range of motion and less acetabular
wear are the advantages of a bipolar hemiarthroplasty. The
aim of this study is to evaluate the efficacy of bipolar
hemiarthroplasty in fracture neck of femur in elderly in terms
of quality of life, surgical outcome and complications.
Materials & Methods: This study was conducted at Prathima
Institute of Medical Sciences, Karimnagar from July 2015 to
December 2017. 30 patients with intracapsular fracture neck
of femur were included in this study. All patients underwent
uncemented hemiarthroplasty with Talwalkar’s Bipolar
Prosthesis. Harris hip score was used to assess the functional
outcome of surgery.
Results : Out of 30 patients, 23(76.6%) had excellent results
with Harris hip score more than 90. Six patients (24%) had good
result with Harris hip score between 80 and 90and only one
patient had fair result with Harris hip score 70 to 80. Average
Harris Hip Score for all the patients in the study is 90.36.
Conclusion: We recommend uncemented bipolar
hemiarthroplasty for displaced intracapsular fracture neck of
the femur in elderly age. Easier surgical technique, low
complication rate, early rehabilitation, near normal mobility
and durability are the advantages over other modalities of
treatment of intracapsular fracture neck of femur in elderly. |
| first_indexed | 2024-03-09T17:36:29Z |
| format | Article |
| id | doaj.art-1deb72de6cf54f34a51e7523fa5ecae9 |
| institution | Directory Open Access Journal |
| issn | 2348-1447 2348-229X |
| language | English |
| last_indexed | 2024-03-09T17:36:29Z |
| publishDate | 2019-04-01 |
| publisher | Prathima Institute of Medical Sciences |
| record_format | Article |
| series | Perspectives In Medical Research |
| spelling | doaj.art-1deb72de6cf54f34a51e7523fa5ecae92023-11-24T11:52:41ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2019-04-01712830Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderlyVenkat Reddy Almareddi1 , Ram Reddy V20 Prathima Institute of Medical SciencesIntroduction: The treatment of choice for a displaced intracapsularfemoral neck fracture in elderly patients is hemiarthroplasty. The optimal design, unipolar or bipolar head, remains unclear. Better range of motion and less acetabular wear are the advantages of a bipolar hemiarthroplasty. The aim of this study is to evaluate the efficacy of bipolar hemiarthroplasty in fracture neck of femur in elderly in terms of quality of life, surgical outcome and complications. Materials & Methods: This study was conducted at Prathima Institute of Medical Sciences, Karimnagar from July 2015 to December 2017. 30 patients with intracapsular fracture neck of femur were included in this study. All patients underwent uncemented hemiarthroplasty with Talwalkar’s Bipolar Prosthesis. Harris hip score was used to assess the functional outcome of surgery. Results : Out of 30 patients, 23(76.6%) had excellent results with Harris hip score more than 90. Six patients (24%) had good result with Harris hip score between 80 and 90and only one patient had fair result with Harris hip score 70 to 80. Average Harris Hip Score for all the patients in the study is 90.36. Conclusion: We recommend uncemented bipolar hemiarthroplasty for displaced intracapsular fracture neck of the femur in elderly age. Easier surgical technique, low complication rate, early rehabilitation, near normal mobility and durability are the advantages over other modalities of treatment of intracapsular fracture neck of femur in elderly.http://www.pimr.org.in/files-vol7-issue1-19/venkatreddy-vol-7-issue-1-2019.PDFintracapsular fracture neck of femurbipolar hemiarthroplasty |
| spellingShingle | Venkat Reddy Almareddi1 , Ram Reddy V2 Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly Perspectives In Medical Research intracapsular fracture neck of femur bipolar hemiarthroplasty |
| title | Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly |
| title_full | Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly |
| title_fullStr | Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly |
| title_full_unstemmed | Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly |
| title_short | Bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly |
| title_sort | bipolar hemiarthroplasty for intracapsular fracture neck of femur in elderly |
| topic | intracapsular fracture neck of femur bipolar hemiarthroplasty |
| url | http://www.pimr.org.in/files-vol7-issue1-19/venkatreddy-vol-7-issue-1-2019.PDF |
| work_keys_str_mv | AT venkatreddyalmareddi1ramreddyv2 bipolarhemiarthroplastyforintracapsularfractureneckoffemurinelderly |