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

Abstract

Aims and Objectives: To evaluate the complications of displaced fracture neck of femur in elderly treated with cemented bipolar hemiarthroplasty. Material and Methods: The present research was a prospective study of 44 cases of displaced femur bone fractures admitted to S.N.M.C. and H.S.K. Hospital in Bagalkot between October 2017 and October 2019. Cases were selected on the basis of inclusion and exclusion criteria. Medically unsuitable and non-operative patients have been removed from the study. Cases have been treated with cemented bipolar hemiarthroplasty. Results: In our 44 cases, there were 30 females and 14 males, with a median age of 92 years, a minimum age of 65 years and an average age of 72.72 years. There was a small predominance of left-sided fractures (54.55 per cent) relative to the right-sided fractures. The average score for the final 1 year follow-up was 86.75 per cent (maximum score of 95 and a minimum score of 66). Patients progressed well with few complications such as a difference in limb length, with 36.36% of patients ranging from 1 to 1.5 cm in length. Conclusion: Cemented bipolar hemiarthroplasty for fractures of the femoral neck offers a greater range of movement, relief from pain and a quicker return to unassisted operation with a reasonable complication rate. End-to-end functional outcomes depend on the age of the patient, underlying co-morbidity, and optimum post-operative recovery. Long-term results using bipolar hemiarthroplasty need more study in a larger community for a longer period of time. Bipolar prosthesis is a safe option in the treatment of fractures of the femur in elderly patients with serious rehabilitation, despite having multiple comorbidities.