A Hospital Based Prospective Clinical Study to Evaluate the Efficacy of Bipolar Hemiarthroplasty in Arthritis of The Hip Joint

Authors

  • Sunil Yadav Consultant Orthopedic Surgeon, Jeevan Jyoti Hospital, Bahadurgarh, Haryana, India
  • Sumit Arora Consultant Orthopedic Surgeon, Jeevan Jyoti Hospital, Bahadurgarh, Haryana, India
  • Ajay Associate Professor, Sports Injury in Orthopedic, Safdarjung Hospital, Delhi, India

Keywords:

Hemiarthroplasty, Femoral Neck Fracture, HARRIS Hip Score, Radiological Outcome.

Abstract

Background: Replacement of the femoral head is still recognized as the best scheme for elderly displaced femoral neck fracture, despite its controversial. Cemented Bipolar hemiarthroplasty thus appears a good option for fracture neck femur in the elderly population. With limited evidence for cemented hemiarthroplasty for improved functional outcome and one of the meta-analysis showing increased post-operative mortality. The aim of this study to evaluate the efficacy of bipolar hemiarthroplasty in arthritis of the hip joint.Materials & Methods: A hospital based prospective clinical study done on 50 patients involving intracapsular fracture of neck of femur admitted in Department of Orthopedic at Jeevan Jyoti Hospital, Bahadurgarh, Haryana, India during one year period. All patients were operated under General/Spinal anesthesia for bipolar cemented hemiarthroplasty. The data analysis was done for 6 months using parameters ratio, rates and percentage of different outcome as per the HARRIS HIP SCORE, which were computed and compiled. The results were classified as excellent, good, fair and poor based on points scored on HARRIS HIP SCORE following functions were taken into consideration.Results: The present study included that maximum age of patients was 90 year and minimum age of 50 year with mean age of 65.27 years. Male to female ratio was 1.77:1. Among 50 patients 30 were operated on right side while 18 patients were operated on left side and only 2 patients operated both side. The average hospital stay was 4.65 days. Results were excellent in 10% patients, 60% patients were having good Harris hip score, 26% patients were having fair Harris hip score and only 4% patients fell in poor Harris hip score. 56% patients were in excellent radiological grade, 40% patients were in good radiological grade and 4% patient were in poor radiological grade.Conclusion: We concluded that cemented bipolar hemiarthroplasty appears to be an excellent procedure to achieve good clinical results in elderly patients with fracture femoral neck. A continued clinical and radiologically evaluation is essential for identifying complicating factors.

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Published

2021-12-16

How to Cite

Sunil Yadav, Sumit Arora, & Ajay. (2021). A Hospital Based Prospective Clinical Study to Evaluate the Efficacy of Bipolar Hemiarthroplasty in Arthritis of The Hip Joint. International Journal of Health and Clinical Research, 4(22), 138–141. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/3534