A prospective study to evaluate the functional outcome in fracture neck femur treated by cemented bipolar hemiarthroplasty in elderly patients

Abstract

Introduction: Purpose of this research is to study the functional outcome in elderly patients of fracture neck femur treated by cemented bipolar hemiarthroplasty and to analyze the improvement in the ambulatory status of patient at variable periods of follow up. Materials and methods: This is a prospective observational study of 50 elderly patients (age ≥ 60 years) with femoral neck fractures treated by cemented bipolar hemiarthroplasty. Thorough preoperative, intraoperative and postoperative evaluation was done. Functional outcome was evaluated using Harris Hip Score at each follow up visit. Results:Out of 50 patients, 40 cases were available at the end of 12 months for final follow-up. At the final follow up, 42.50% had excellent results, 37.50% had good results, 12.50% had fair results and 7.50% had poor results. Conclusion: In elderly patients with femoral neck fracture, we recommend the use of cemented bipolar hemiarthroplasty. It provides good ambulatory ability, improves the quality of life in elderly age group and is cost-effective.