scholarly journals Study the complications of displaced fracture neck of femur in elderly patients treated with cemented bipolar hemiarthroplasty

2021 ◽  
Vol 7 (1) ◽  
pp. 557-561
Author(s):  
Dr. Deepak P Kaladagi ◽  
Dr. Shivakumar B Kerakkanavar ◽  
Dr. Nagesh B Sanakal ◽  
Dr. Pundaleekappa S Kaladagi ◽  
Dr. Praveenkumar A Hongal
Keyword(s):  
Elderly Patients ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Displaced Fracture

scholarly journals Modular bipolar hemiarthroplasty for fracture neck of femur using contemporary cementing technique: Long-term results of a single design

2019 ◽  
Vol 26 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Yik-Fung Mak ◽  
Hok-Yin-Alwin Li ◽  
Qunn-Jid Lee ◽  
Yiu-Chung Wong
Keyword(s):  
Aseptic Loosening ◽  
Clinical Results ◽  
Long Term Results ◽  
Bipolar Hemiarthroplasty ◽  
Salvage Procedure ◽  
Neck Of Femur ◽  
Perioperative Morbidity ◽  
Fracture Neck Of Femur ◽  
Displaced Fracture

Introduction: The use of bipolar prosthesis in the management of displaced fracture neck of femur has remained controversial. There has been a lack of long-term studies in its results and survivorship, especially in acetabular erosion. Methods: We retrospectively reviewed 108 single design bipolar hemiarthroplasties (105 patients) performed in a single centre between 1999 and 2008, with a mean follow-up of 7.4 years (range: 2.2–18.3 years). General indications of surgery include displaced fracture with age less than 75, narrow femoral canals not permitting the use of a monoblock implant or as salvage procedure for failed internal fixation. Results: Six hips (5%) required further surgery – two patients had debridement for infection and four patients required revision to total hip arthroplasty (THA) due to infection or aseptic loosening. There was no dislocation. No revision was required for acetabulum erosion. Kaplan–Meier analysis showed a 15-year survival free of revision due to any reason to be 93.1% and due to aseptic loosening to be 97.1%. Discussion: Our centre has shown excellent clinical results and low revision rate with the cemented bipolar system. In the context of displaced fracture neck of femur, the long-term results can be compared with THA which is associated with higher perioperative morbidity.

scholarly journals Prospective study of the functional outcome of uncemented bipolar hemiarhroplasty in displaced fracture neck of femur in elderly

2020 ◽  
Vol 6 (3) ◽  
pp. 567
Author(s):  
Radhakrishna A. Mallegowda ◽  
Channappa T. Seetharam ◽  
Shivanand Sundaram ◽  
Jayaram B. Siddegowda ◽  
Veeresh Nijalingappa
Keyword(s):  
Functional Outcome ◽  
Early Mobilization ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Bipolar Prosthesis ◽  
Fracture Neck Of Femur ◽  
Excess Morbidity ◽  
Predominantly Female ◽  
Displaced Fracture

<p class="abstract"><strong>Background:</strong> Hip fractures in older patients are associated with impaired mobility, excess morbidity, mortality and loss of independence. To avoid the drawbacks of internal fixation and for early mobilization, hemiarthroplasty is performed in elderly. The bipolar prosthesis was developed to overcome the shortcomings of the unipolar fixed-head prosthesis. An additional site of motion would be expected to decrease the amount of loosening, dislocation, and head migration. The aim of the study is to assess the functional outcome of the patients with fracture neck of femur treated with bipolar hemiarthroplasty.</p><p class="abstract"><strong>Methods:</strong> In this study, 20 patients above the age of 60 years with acute displaced fracture neck of femur underwent hemireplacement arthroplasty with bipolar prosthesis in Department of Orthopaedics, KIMS, Bangalore. The patients were followed up on 6th, 12th, 18th, 24th week post operatively. Functional outcome was assessed with Harris hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, mean average age was 72.3 years with predominantly female patients with 75% of the patients with left sided fracture. 95% of the patients had slight or no pain, 85% of patients had slight or no limp. 50% of the patients could walk without support, 65% of the patients could walk a distance of 6 blocks or more. Average Harris hip score was 82%.</p><p class="abstract"><strong>Conclusions:</strong> These results suggest functional outcome following bipolar hemiarthroplasty is good. Early mobilisation, pain free hip and with good level of activity is obtained following bipolar hemiarthroplasty.</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>

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.

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