Prospective study of functional outcome of cemented bipolar hemiarthroplasty for fracture of neck of femur in elderly patients

Alagu Rajesh, D (2021) Prospective study of functional outcome of cemented bipolar hemiarthroplasty for fracture of neck of femur in elderly patients. Masters thesis, Karpaga Vinayaga Institute of Medical Sciences, Madhuranthagam.

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Abstract

BACKGROUND AND OBJECTIVES: This is a prospective study of thirty five cases of fracture neck of femur in elderly patients >60 years, who irrespective of sex were treated by cemented bipolar hemiarthroplasty in the Department of Orthopedics, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, Madhurandhagam. Patients were followed up and an objective study was made and the functional results were analysed to study the incidence of fracture neck of femur based on sex, age, quality of life after hemiarthroplasty, morbidity and mortality associated with the procedure, recovery and vocational independence and also associated complications. METHODOLOGY: In the Department of Orthopaedics at Karpaga vinayaga institute of medical sciences and research centre, madhurandhagam, a prospective study of thirty five cases of fracture neck of femur in elderly patients above the age of 60 years treated by cemented bipolar hemiarthroplasty was planned from June 2018 to May 2020. The cases were followed up and functional results were analysed by using Harris hip scoring system. RESULTS: During the study period, three patients were found to have been expired and two cases were lost for follow up. Thus the functional results are assessed with the remaining thirty cases. The patients were in the age group of 60 to 80 years with mean average age of males were 70.33 and females were 69.27 years with female predominance. Majority of the fractures were of the subcapital type based on xrays. Mode of injury was trivial trauma and the involved side was right side in maximum number of our study cases. Among our patients the commonly associated medical conditions were diabetes mellitus and hypertension. 30.0% of the patients had excellent results and 46.66% had good results as compared to preoperative status. INTERPRETATION AND CONCLUSION: • Cemented bipolar hemiarthroplasty for the fracture neck of femur in elderly population provides very good short and long term results. • Mortality and morbidity are not high, the operative procedure is simple, there is less blood loss, procedure is less time consuming and the complications are minimal. • Early functional results are satisfactory. • The end functional result depends on the associated co-morbidities and optimum post-operative rehabilitation. • The poor results (6.66%) were due to moderate to marked pain in the hip after hemiarthroplasty.

Item Type: Thesis (Masters)
Additional Information: 221812551
Uncontrolled Keywords: Cemented - Bipolar - Hemiarthroplasty - Femoral neck fracture.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 02 Oct 2021 15:29
Last Modified: 02 Oct 2021 15:29
URI: http://repository-tnmgrmu.ac.in/id/eprint/18460

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