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| Auteurs principaux: | , |
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| Format: | Recurso digital |
| Langue: | anglais |
| Publié: |
Zenodo
2024
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| Sujets: | |
| Accès en ligne: | https://doi.org/10.5281/zenodo.14588624 |
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Table des matières:
- <p><strong>Overview: </strong>Hip fractures are among the most frequently seen injuries by orthopaedic surgeons and are particularly prevailing in the geriatric community. This study was performed to evaluate the efficacy of the bipolar hemiarthroplasty among elderly patients with a proximal femoral [neck & I/T] fracture. <strong>Materials and Methods: </strong>This was a prospective study undertaken at the Department of Orthopaedics at a NIMS, Jaipur from January 2023 to June 2024. The patients were selected based on the convenience sampling (Judgment sampling) method. Bipolar hemiarthroplasty was performed. All had cemented implants. Functional outcome was assessed periodically at 6 weeks, 3 months, 6 months, and 1 year using modified Harris hip scoring system using guide for statistical analysis and <em>p </em>value set at 0.05. <strong>Observations: </strong>A total of 40 patients >50 years of age with 22 (55%) males and 18 (45%) females, among which 36 (90 %) with fractured neck of femur and 4 (10%) with Inter- trochanteric fracture were studied. Harris hips ROM score 5 was noted in 50% of the participants, scores 4 and 3 in 42.5 and 7.5%, respectively. Excellent functional score was noted in 16 (40%), good in 18 (45%), satisfactory in 3 (7.5%), and 3 (7.5%) had poor score. Only two (5%) participants had radiolucent zone >2 mm and one (2.5%) had subsidence of prosthesis >5 mm. <strong>Conclusion: </strong>Cemented bipolar hemiarthroplasty is a option of treatment in mobile geriatric patients above 50 years of age with a proximal femoral [Neck/ I/T] fracture. A bipolar hemiarthroplasty is a reliable option in treating fracture neck/ I/T femur in the elderly with several comorbidities. All the participants had a satisfactory functional outcome in form of regular daily activity, less hospital stay, less residual pain, good post-operative functionality and fewer post-operative complications. It can be used in day-to-day clinical practice as a effective treatment modality.</p>