Vol. 11, Issue 3 (2025)

Introduction: A common fracture among the elderly is the neck of the femur. Even in contemporary orthopedics, it is still an unresolved fracture. (4) (5) Orthopedic specialists are baffled by this potentially fatal injury since it is hard to treat (4, 6). Hip fractures are frequent, accounting for 20% of orthopedic surgeons' surgical patients. After a fall, elderly people frequently sustain intracapsular femoral neck fractures. Young adults rarely suffer femoral neck fractures, and those under 50 account for only 2-3% of all intracapsular hip fractures. (4, 7). The incidence of neck of femur fractures has risen significantly, largely due to factors such as the growing prevalence of osteoporosis, age-related visual impairment, reduced neuromuscular coordination in older adults, sedentary lifestyles, and increased life expectancy. Globally, the annual number of hip fractures is estimated to range between 1.3 and 1.7 million. In 1990, approximately 1.3 million hip fractures were reported, and projections suggest this figure could reach 2.5 million by 2025 and 4.5 million by 2050, provided age-specific rates remain unchanged.

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Materials and Methods: This prospective study will be conducted at our SMIMER Medical College and Hospital, Surat in the period of February 2023-October 2024 for the patients who have undergone surgically treated neck of femur fracture with bipolar hemiarthroplasty in fracture of neck of femur in elderly patients more than 60 years. All cases were treated with closed reduction. The dominant side, gender ratio, surgery time, and fracture union time, and complications were noted

Results: In the present study 50 cases of neck femur fracture were treated with bipolar hemiarthroplasty. The follow up period ranged from 6 months to 1 years. The age of the patients in the study ranged from 61 years to 90 years. Average being 73 years and the study done by Gilberty had the average age group of patients being 71 years. In the present study out of 50 patients, 20 patients (40%) were males and 30 patients (60%) were females. All injuries were due to trivial trauma. In this study there are no associated injuries and there was no pathological fracture. 33 (66%) patients had presented with acute fracture, whereas 17 (34%) patients had presented with late presentation. Out of 50 patients 26 had an injury of left femur whereas the remaining 24 patients had injury had injury to right femur. 26 patients were classified as DORR’S type B whereas 24 patients were classified as DORR’S type C. 21 patients were classified as garden type 3 whereas 29 patients were classified as garden type 4.

Conclusion: In the present study, 50 patients diagnosed with intracapsular fracture of the femoral neck were treated surgically using bipolar hemiarthroplasty. Clinical data were collected, analyzed, and assessed, leading to the following conclusions: Femoral neck fractures are frequently observed in the elderly, primarily due to age-related osteoporosis. This condition contributes to a higher incidence of such fractures, as older individuals typically exhibit lower bone mineral density compared to age-matched healthy controls. The combination of decreased bone strength and an increased likelihood of falls or minor trauma makes this population particularly vulnerable to these injuries.