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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-02
Functional Outcome of Cemented Bipolar Hemi Arthroplasty for Fracture Neck of Femur in Elderly
Lionel John, Veerappan, Kathiravun, Sathishbalaji
Published: Feb. 28, 2017 | 98 87
DOI: 10.36347/sjams.2017.v05i02.055
Pages: 581-584
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Abstract
Indian community has increased geriatric population due to modified healthy habits and this has increased the longevity of living amongst them. But age related degenerative changes has a parallel impact on the elderly. Incidence of fractures will raise in the elderly population in the years to come with fracture neck of femur at an increased rate. Hence a detailed evaluation and a stronger study helps in increasing the quality and quantity of life among the geriatric age group. An effective management for fracture neck of femur can bring forth early mobilization and live an independent life, thereby preventing all fracture related complications in elderly population. This study was aimed at evaluating the functional outcome of cemented bipolar hemi arthroplasty as a primary treatment for fracture neck of femur in elderly. It was a prospective study involving 40 elderly patients with fracture neck of femur. They were surgically managed by cemented bipolar hemi arthroplasty. These patients were followed up regularly for three weeks, three months, six months, and nine months. And then followed once in a year for a period of 4 years’ duration. Mean age of the patient in this study was 72.525±8. 174.We have followed 40 elderly patients who had suffered fracture neck of femur. They had an immediate post-operative Harris Hip Score of 79.56±8.45 which improved up to 90.1±15.57 at the end of four years. The average post-operative mobilization duration was 3.45 days and was discharged at an average duration of 13.825 days. Subsequently follow up till the end of 4 years our study had shown 82.5% good to excellent results, were as poor to fair results sum up to ten percent. This study had shown that cemented bipolar hemi arthroplasty for fracture neck of femur in elderly had given better functional outcome.