scholarly journals Cemented Bipolar Hemiarthroplasty for Fracture Neck of Femur and Unstable Intertrochanteric Fractures - Prospective and Retrospective Study

2021 ◽  
pp. 263-266
Author(s):  
P. Sharajdeen
Keyword(s):  
Mortality Rate ◽  
Significant Risk ◽  
The Elderly ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Percent Mortality ◽  
Major Discrepancy ◽  
Minor Injuries ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Better Than

Hip fractures in elderly patients are becoming a major social problem from various perspectives, including the progressive aging of global societies. The elderly have a high risk of hip fracture, even with minor injuries because of osteoporosis, while early surgical treatment may be difficult due to comorbidities and medication. In this study, significant risk factors were identified. Patients over age 70 had three times the mortality of younger patients. Greater than three pre-existing medical conditions is associated with a 25 percent mortality rate, more than twice that of healthier patients. Surgery performed on the first day of admission and beyond the fifth day was associated with a 34 percent mortality rate. Those patients operated in during days 2 through 5 had a 5.8 percent mortality rate. There was no failures related to inadequate stem or mechanical loosening. The tendency to dislocation can be clinically identifiable by major discrepancy in length, there was no failures related to inadequate stem or mechanical loosening. The tendency to dislocation can be clinically identifiable by major discrepancy in length and only 1 patient had shortening of about 2 cms post operatively which was slightly better than that of James et al (11%).

scholarly journals Breakage of a Third Generation Gamma Nail: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Takashi Iwakura ◽  
Takahiro Niikura ◽  
Sang Yang Lee ◽  
Yoshitada Sakai ◽  
Kotaro Nishida ◽  
...  
Keyword(s):  
Rare Complication ◽  
Trochanteric Fracture ◽  
High Strength ◽  
The Elderly ◽  
Gamma Nail ◽  
Bipolar Hemiarthroplasty ◽  
Third Generation ◽  
Trochanteric Fractures ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Fractures Of The Femur

The use of intramedullary nails to treat trochanteric fractures of the femur has increased with the increasing size of the elderly population. The third generation Gamma nail is currently one of the most popular devices for the treatment of trochanteric fractures. Nail breakage is a rare complication, possibly resulting from fatigue fracture of the implant. We present the first reported case of breakage of a third generation Gamma nail that was not used to treat a pathological fracture. An 83-year-old woman with an unstable trochanteric fracture of the femur was treated using a third generation Gamma nail. She was referred to our hospital 14 months postoperatively with nail breakage at the opening for the lag screw. The breakage was secondary to nonunion, which was thought to be mainly due to insufficient reduction of the fracture. The broken nail was removed, and the patient underwent cemented bipolar hemiarthroplasty. At followup 18 months later, she was mobile with a walker and asymptomatic with no complications. This case shows that inadequate operation such as insufficient reduction of the trochanteric fracture may result in nonunion and implant breakage, even when using a high-strength, well-designed implant.

scholarly journals Short term results of modular bipolar hemiarthroplasty for the treatment of neglected trochanteric femur fracture in the elderly

2019 ◽  
Vol 6 (1) ◽  
pp. 53
Author(s):  
Towseef Ahmad Bhat ◽  
Zameer Ali ◽  
Manik Sehgal
Keyword(s):  
Femoral Fractures ◽  
The Elderly ◽  
Clinical Results ◽  
Good Choice ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Postoperative Rehabilitation ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Fractures Of The Femur

<p class="abstract"><strong>Background:</strong> In rural India because of native practitioner culture people tend to neglect orthopaedic injuries and often present late to the hospitals. Bipolar hemiarthroplasty for neglected intertrochanteric fractures of the femur in the elderly yields good clinical results in terms of early postoperative ambulation. This will have a direct effect on the general condition and postoperative rehabilitation.</p><p class="abstract"><strong>Methods:</strong> Sixteen patients with proximal extracapsular femoral fractures presented average 10.4 weeks late from the day of injury, were treated with modular bipolar hemiarthroplasty. There were 11 men and 5 women, with mean age of 72.8 years (range: 65–83 years). Primary cemented bipolar hemiarthroplasty was performed using the Hardinge lateral approach in a lateral decubitus position. Harris hip score was used for the clinical evaluation of the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> Clinically, the Harris hip score at the last follow-up ranged from 92 to 59, with a mean value of 81.7. Postoperative radiographs showed a good position in all patients. 1 patient developed complication during cementing and 1 case came with dislocation. No case of infection, acetabular erosion, periprostheic fracture or implant loosening was reported in this study.</p><p class="abstract"><strong>Conclusions:</strong> Primary cemented bipolar hemiarthroplasty is a good choice in elderly patients with neglected intertrochanteric fractures of the femur.</p>

scholarly journals Comparison of functional outcomes between cemented and uncemented bipolar hemiarthroplasty for intracapsular neck femur fractures

2020 ◽  
Vol 6 (2) ◽  
pp. 333
Author(s):  
Harpreet Singh ◽  
Tej S. Rudani ◽  
Malay P. Gandhi ◽  
Aliasgar J. Rampurwala
Keyword(s):  
Excellent Result ◽  
The Elderly ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
Uncemented Hemiarthroplasty ◽  
Duration Of Surgery ◽  
The Mean ◽  
Neck Of Femur Fracture ◽  
Uncemented Group

<p class="abstract"><strong>Background:</strong> The neck of femoral fracture is common and leading fracture in orthopaedic practice. The older age group and female are more to prone to develop this fracture.</p><p class="abstract"><strong>Methods:</strong> A prospective, clinical observational, analytical comparative study was undertaken in the department of Orthopaedics of Geetanjali Medical College and Hospital in Udaipur, Rajasthan from January 2018 to June 2019. 52 adult patients with neck of femur fracture, 26 patients in each group. <strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, the mean age was 77.72 years. Female preponderance was seen in our study. In our study mean duration of surgery in uncemented group was 65.78 minutes and mean duration of surgery in cemented group was 79.89 minutes. The mean total HHS in our patient was 86.63 with standard deviation of 6.18. Mean HHS for cemented group was 86 and for uncemented group was 87.23. We found 20 excellent result and 27 good results (35.71% and 51.92% respectively). We also found 5 fair result (12.37%). There were 2 complications, both in cemented group, one had post-operative dislocation and other had a cement reaction.</p><p><strong>Conclusions:</strong> Both cemented and uncemented hemiarthroplasty are equally good options in the treatment of femoral neck fractures in the elderly. However, it is to be noted that the duration of surgery &amp; complications, were both less in the uncemented group as compared to cemented hemiarthroplasty group in our study. </p>

scholarly journals Acetabular erosion after hemiarthroplasty

2017 ◽  
Vol 4 (1) ◽  
pp. 53
Author(s):  
Venkatesh Kumar N. ◽  
Arvind Kumar S. M. ◽  
Vinayagamoorthy . ◽  
Sairamakrishnan S.
Keyword(s):  
Functional Activity ◽  
Activity Level ◽  
Clinical Activity ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
Ucla Score ◽  
Cemented Bipolar Hemiarthroplasty ◽  
Neck Of Femur Fracture ◽  
Acetabular Erosion

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Neck of femur fractures are one of the devastating injuries in the old age. Their incidence is on the rise causing immense stress on the society. One of the most commonly done procedure is bipolar hemiarthroplasty. In our study we have evaluated the acetabular erosion after hemiarthroplasty, in neck of femur fracture patients after a minimum period of 2 years and have tried to correlate it with activity level of the patient.</span>The aim of the study were <span lang="EN-IN">early detection of acetabular erosion; to assess the functional outcome after minimum of 2 years after hemiarthroplasty by modified UCLA score; to correlate the functional activity level and radiological acetabular erosion.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a retrospective radiological and clinical study. The post hemiarthroplasty plain radiographs, showing AP view of hip joint taken in the Department of Radiodiagnosis, PSGIMS&amp;R will be studied along with activity level assessment. By Convenient sampling method, all the patients undergone cemented bipolar hemiarthroplasty, for fracture neck of femur after minimum of 2 years were assessed both radiologically and clinically. Functional activity level was assessed by Modified UCLA scoring system</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">By this study we suggest an easy and effective way of evaluating acetabular erosion and clinical activity. There is significant increase in acetabular erosion as the duration after surgery increases. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">By this study we suggest an easy and effective way of evaluating acetabular erosion and clinical activity. There is significant increase in acetabular erosion as the duration after surgery increases. The clinical activity is by and large not significantly altered as the erosion progress at mid-term follow up.</span></p>

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 Post-operative mortality and factors related to mortality after bipolar hemiarthroplasty in patients with femoral neck fractures

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2604-2608
Author(s):  
Prabhakaran A ◽  
Selvakumar P ◽  
Krishnagopal R ◽  
Anisha Rao
Keyword(s):  
Hip Fractures ◽  
Small Sample Size ◽  
The Elderly ◽  
Small Sample ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Medical College ◽  
Femur Fractures ◽  
Gandhi Medical College ◽  
Surgical Duration

Hip fractures are a common entity in the elderly. Hemiarthroplasty is a common treatment option for displaced neck of femur fractures and have been found to be successful in restoring mobility, reducing pain and improving quality of life following hip fractures in elderly. Many studies have reported that advanced age, male gender, long term stay in the intensive care unit, poor postoperative mobilization ability, a poor or dependent ADL score preoperatively, multiple comorbidities which result in a high ASA score have been associated with higher mortality. A retrospective study was done at the Department of Orthopaedics at Mahatma Gandhi Medical College and Research Institute, Pondicherry which included all patients who underwent hemiarthroplasty (both cemented and uncemented) from 2017-2020. The details of patients satisfying the inclusion criteria were obtained from the medical records department and were analysed by a single investigator. In case the subjects had not reviewed following surgeries, details were obtained by telephonic communication. In our study of 40 patients, mortality was observed in 4 patients which included 3 females and 1 male. It was also observed that mortality was high between the ages of 61-80 years, patients with multiple comorbidities and patients with high ASA scores. The hazard ratio was calculated for 3 parameters namely age, time to surgery and surgical duration and is 1.014, 0.842 and 0.984 respectively but this was not found to be statistically significant. This may due to the small sample size and retrospective nature of our study.

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