A much controversy exists regarding treatment of neck of femur fractures in elderly. Currently, choices available for an orthopaedic surgeon for treating these fractures in elderly are unipolar hemiarthroplasty, bipolar hemiarthroplasty and total hip arthroplasty. One of the most common treatments of displaced fracture of femoral neck in elderly is bipolar hemiarthroplasty. This study was conducted to evaluate functional outcome of fracture neck of femur treated with cemented bipolar hemiarthroplasty in elderly.
Materials and Methods: Fifty patients of femoral neck fracture were operated by hemiarthroplasty from August 2013 to February 2016 and their functional outcomes were assessed on the basis of modified Harris Hip Score.
Results: At the end of 12 months after surgery, the functional results were analyzed. All patients were in the age group of 50-85 years with mean average age of 62.09 years for males and 69.42 years for females. 48% percent of the patients had subcapital fracture radiologically, while 52% had Transcervical. In 68% of cases, the mode of injury was trivial trauma. Complications observed were superficial infection of the wound in one patient and post-operative dislocation in another patient. There were 64% excellent results, 28% good results and 8% fair results. No poor results were found in our study.
Conclusions: Elderly patients with displaced fracture of neck femur are able to ambulate early after Cemented bipolar hemi arthroplasty. The complication rate is low and pre injury functional status is restored in majority of patients