scholarly journals Functional Outcome of Uncemented Modular Bipolar Hemiarthroplasty Using Modified Harris Hip Score for Fractures of Femoral Neck in Elderly Patients

2020 ◽  
Vol 08 (09) ◽  
Author(s):  
Zubair Younis Ringshawl ◽  
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Functional Outcome ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Modified Harris Hip Score

scholarly journals Functional Outcome of Intracapsular Femoral Neck Fractures Treated by Bipolar Hemiarthroplasty

2021 ◽  
Vol 15 (5) ◽  
pp. 988-991
Author(s):  
Zamir Hussain Tunioi ◽  
Rizwan Ali Jhatiyal ◽  
M Azeem Akhund ◽  
M Kashif Abbasi ◽  
L Das Maheshwari ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Functional Outcome ◽  
Femoral Neck Fractures ◽  
University Hospital ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Cross Sectional ◽  
Average Hospital

Aim: To evaluate the functional outcome of bipolar hemiarthroplasty in intracapsular fracture neck of femur. Study design: Descriptive cross sectional study. Place and duration of study: Department of Orthopaedic Surgery & Traumatology, Peoples Medical University Hospital, Shaheed Benazir Abad from 1st December 2017 to 31st December 2020. Methodology: Sixty six cases of intracapsular femoral neck fractures with age ranging from 50 year to 75 year of either gender who were ambulatory before injury were included; while basicervical, younger than 50 years, with neuromuscular disorder, unfit for surgery, open fracture, bilateral injuries, osteoarthritis of hip, Rheumatoid, Gouty, pathological fractures, bedridden & who did not give consent for study, were excluded from the study. Functional outcome assessed by Harris hip score & data analyzed by SPSS version 23. Results: Twenty six (59.09%) were male and 40 (40.91%) were female with mean age of 64.3±7.77 year. Average time from injury to hospital arrival was 14.7±6.8 hours. Average time from hospitalization to surgery was 4.67±2.23 days. Average time of surgery was 55.67±9.9 minutes. Average hospital stay was 9.7±4.3 days. The average time of follow-up was 18.45±7.63 months. Conclusion: Bipolar implant is safe, effective, reliable, stable and cost effective implant for intracpsular fracture of femoral neck in elderly populace. The 66.66% of patients have satisfactory Harris hip score in follow up duration of 18.45±7.63 months. Keywords: Functional, Outcome, Femoral neck fractures, FNF, Bipolar, Hemiarthroplasty, HHS

scholarly journals Cemented versus uncemented hemiarthroplasty in elderly patients with displaced femoral neck fractures

2018 ◽  
Vol 4 (3) ◽  
pp. 519
Author(s):  
Tushar Chaurasia ◽  
Rajat Charan
Keyword(s):  
Femoral Neck ◽  
Functional Outcome ◽  
Femoral Neck Fracture ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Displaced Femoral Neck Fractures ◽  
Uncemented Hemiarthroplasty ◽  
Neck Fracture ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Uncemented Group

<p class="abstract"><strong>Background:</strong> This study compared functional outcome and results between cemented and uncemented bipolar hemiarthroplasty in patients older than 60 years with displaced femoral neck fracture.</p><p class="abstract"><strong>Methods:</strong> Total fifty four patients with displaced femoral neck fracture were enrolled in this study. Out of total twenty eight patients underwent uncemented bipolar hemiarthroplasty and remaining twenty six patients underwent cemented bipolar hemiarthroplasty. Physical examination and radiographs were performed at the first and sixth months after operation and results were recorded. The patient’s pain and functions were evaluated with visual analogue scale and Harris Hip Score<strong> </strong>and then compared to each other.<strong></strong></p><p class="abstract"><strong>Results:</strong> All patients were followed up for at least 6 months. Mean operation and bleeding times were longer in cemented group compared to the uncemented group (p&gt;0.05). The mean pain score was significantly less in the cemented group compared to the uncemented group (p=0.001). Hip functional outcome based on HHS was more in the cemented (p=0.001). The intraoperative and postoperative complication rate was higher in the uncemented group (p&lt;0.05).</p><p><strong>Conclusions:</strong> Although higher rates of intraoperative bleeding and surgery time were seen with cemented bipolar hemiarthroplasty in older patients with femoral neck fracture compared to uncemented bipolar hemiarthroplasty, cemented bipolar hemiarthroplasty can cause less complication and improve patient’s function in less time. </p>

scholarly journals Evaluation of functional outcome of displaced fracture neck of femur in elderly treated with cemented bipolar prosthesis by modified Harris hip score

2021 ◽  
Vol 7 (3) ◽  
pp. 561
Author(s):  
Shivakumar B. Kerakkanavar ◽  
Deepak P. Kaladagi ◽  
Nagesh B. Sanakal ◽  
Pundaleekappa S. Kaladagi ◽  
Praveenkumar A. Hongal
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Hip Prosthesis ◽  
Limb Lengthening ◽  
Harris Hip Score ◽  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Femur Fractures ◽  
Modified Harris Hip Score ◽  
Displaced Fracture

<p><strong>Background: </strong>The current research was conducted to determine the functional outcome of the displaced fracture neck of femur in elderly patients treated with cemented bipolar hip prosthesis.</p><p><strong>Methods:</strong> The present research was a prospective study of 44 cases of displaced fracture neck of femur admitted to our institute between October 2017 and October 2019. Cases were chosen on the basis of inclusion and exclusion criteria. Cases were surgically treated with cemented bipolar hip hemiarthroplasty and functional findings were recorded with modified Harris hip score.</p><p><strong>Results:</strong> In our series of 44 cases there were 30 females and 14 males, with a maximum age of 92 years, minimum age of 65 years, and the average age was 72.72 years. At one-year follow-up, the average modified Harris hip score was 86.75% (maximum score of 95 and a minimum score of 66), overall, 20 patients (45.46%) achieved excellent, 16 patients (36.36%) achieved good, 5 patients (11.36%) achieved fair and 3 patients (6.82%) achieved poor results. 81.82% of the patients returned to the pre-fracture level of activity and independent ambulation. Patients had few complications like limb length discrepancy, 36.3% of patients had limb lengthening between 1 to 1.5 cm.</p><p><strong>Conclusions:  </strong>In<strong> </strong>elderly patients with displaced neck femur fractures, cemented bipolar hip prosthesis provides good functional outcome<strong>.</strong> However further study for a longer period in a larger sample with a direct comparison between the cemented versus uncemented groups is required.</p>

Functional outcome after dual mobility cups total hip replacement versus bipolar hemiarthroplasty in femoral neck fractures in active elderly patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tony Maher Makeen ◽  
Haytham Abdelazim Mohamed ◽  
Ahmed Mohamed Mohasseb ◽  
Waleed El Sayed Abd Elaleem Elshabrawy ◽  
Mostafa Mamdouh Ashoub ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Functional Outcome ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femoral Neck Fractures ◽  
Bipolar Hemiarthroplasty ◽  
Dual Mobility ◽  
Total Hip ◽  
Dual Mobility Cups

scholarly journals Cementless bipolar hemiarthroplasty for displaced fracture neck of femur with modular hydroxyapatite coated stem in elderly with cardiopulmonary co-morbidities

2017 ◽  
Vol 5 (5) ◽  
pp. 1862
Author(s):  
Towseef Ahmad Bhat ◽  
Zameer Ali ◽  
Amara Gulzar ◽  
Furqaan Mirza
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Femoral Neck Fractures ◽  
Harris Hip Score ◽  
Anterolateral Approach ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Cardiopulmonary Complications

Background: Bipolar hemiarthroplasty is one of the common procedures done for fracture neck of femur in elderly.  Debate about Cemented or cementless is still on. Cementing increases perioperative mortality by causing significant hemodynamic changes or embolization. Patients with cardiopulmonary complications are at higher risk of cementing complications. We report our series of 31 cases of fracture neck of femur with cardiopulmonary diseases operated over 2 years with modular cementless bipolar hemiarthroplasty.Methods: 31 elderly patients with cardiopulmonary co-morbidities (age=75 to 97 years) with displaced femoral neck fractures were operated between January 2011 to December 2013. Cementless bipolar hemiarthroplasty using hydroxyapatite coated stem was done by single surgeon using same implant in all the patients through anterolateral approach. Clinical and radiological follow-up was done with mean follow up of 54 months (36-72 months).Results: Total 31 cases with cardiopulmonary comorbidities were operated. The average follow up was 54 months. No intraoperative mortality was seen. 3 patients had splitting of femur during canal preparation. 1 patient died due to cardiac arrest in the post-operative period. 1 patient had surgical site infection. 3 patients had hemodynamic abnormalities and 1 patient had significant limb length discripency (1.5 cm). 2 patients died in the follow up because of comorbidities.  27 patients reached to pre-injury status with average harris hip score of 86 at final follow up.Conclusions: Cementless bipolar hemiarthroplasty with hydroxyapatite coated stem is a good option for femoral neck fractures in elderly patients with cardiopulmonary complications without risking the harmful effects of cementing.

SHORT TERM FUNCTIONAL OUTCOME OF TRANSCERVICAL NECK FEMUR FRACTURE MANAGED WITH BIPOLAR HEMIARTHROPLASTY

2021 ◽  
pp. 45-47
Author(s):  
Amol K Salve ◽  
S S Bava ◽  
Vinod Kumar Yadav ◽  
Ajay M Wankhade ◽  
Tanay Nahatkar ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Functional Outcome ◽  
Lateral Approach ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Excellent Outcome ◽  
Bipolar Prosthesis ◽  
Good Outcome ◽  
Operative Assessment

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.

scholarly journals Clinical outcome of primary cemented hemiarthroplasty in unstable trochanteric fractues in elderly patients

2018 ◽  
Vol 4 (4) ◽  
pp. 543
Author(s):  
Jayanta Mukherjee ◽  
Ritwik Ganguli
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Trochanteric Fracture ◽  
Early Mobilization ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Early Ambulation ◽  
Fracture Stabilization ◽  
Hip Screw ◽  
Cemented Bipolar Hemiarthroplasty

<p class="abstract"><strong>Background:</strong> Management of unstable trochanteric fracture in elderly patients is challenging due to poor bone quality. Fracture stabilization and early mobilization is very important in preventing the complications. Fixation of the fracture with proximal femoral nail and dynamic hip screw has its complication and it takes time to mobilization of the patient after consolidation of fracture. Cemented bipolar hemiarthroplasty in osteoporotic unstable comminuted trochanteric fracture helps in early mobility and reduces complications.</p><p class="abstract"><strong>Methods:</strong> We prospectively analyzed 20 cases of cemented hemiarthroplasty in unstable intertrochanteric fractures. The functional outcomes were assessed based by Harris hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The functional outcome measured with Harris hip score is excellent to good in most of the patients.</p><p class="abstract"><strong>Conclusions:</strong> Primary cemented hemiarthroplasty in unstable trochanteric fracture in elderly results in early ambulation with good functional outcome.</p>

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