A Prospective Study to Evaluate the Functional Outcome and Management of Intracapsular Fracture of Neck of Femur by Cemented Bipolar Hemiarthroplasty

Abstract

Background: Cemented Bipolar hemiarthroplasty thus appears a good option for fracture neck femur in the elderly population. The aim of this study to evaluate the functional outcome and management of intracapsular fracture of neck of femur by cemented bipolar hemiarthroplasty. Materials & Methods: A hospital based prospective study done on 20 patients involving intracapsular fracture of neck of femur at department of orthopaedic and indoor at our centre Government Medical College & attached groups of Hospital, Barmer, Rajasthan. The results were classified as excellent, good, fair and poor based on points scored on Harris Hip Score. Results: The present study showed that mean age of 69 years. Male to female ratio was 1.85:1. The clinical results were analyzed using the Harris hip score. Most of the patients showed excellent to fair score. Only 1 patient showed poor Harris hip score. Radiological results were excellent (55%) in the current study. There was only 1 case with poor radiological results. There was no case with subluxation or dislocation of the prosthesis. Conclusion: We concluded that cemented bipolar hemiarthroplasty seems to be the best way to get good clinical outcomes in elderly patients with fractured femoral neck. Continuous clinical and radiologically testing is essential for the diagnosis of complications.