Functional Outcome of Bipolar Hemiarthroplasty
Sikandar Ali, Mohammad Faheem Iqbal, Shaheryar Aziz, Abdul Samad Qureshi, Dildar Ahmed Khan
Aim: To determine the success of bipolar hemiarthroplasty in patients with fracture neck of femur.
Study Design: Descriptive Case series.
Setting: Department of Orthopaedics and Spinal Surgery, Ghurki Trust Teaching Hospital/Lahore Medical & Dental College, Lahore from 3rd August 2011 to 4th August 2012.
Methodology: Fifty patients with fracture neck of femur treated with bipolar hemiarthroplasty were included. Investigations like X-rays pelvis with both hips were carried out. Epidural or spinal anaesthesia was used. Modified Hardinge direct lateral approach and supine position was used for bipolar prosthesis. Postoperatively all patients were mobilized with full weight-bearing after 24 to 48 hours with assistance from physiotherapist and intravenous antibiotic continued for 48-72 hours followed by orally till wound healed.
Results: There were 20 males and 30 females with male to female ratio 1:1.5. The mean±SD between the ages was 63.36±7.27 years. The success rate was 37 (74%) and 13 (26%) was not successful.
Conclusion: Bipolar hemiarthroplasty is safe and effective treatment modality in patients with femur neck fractures especially in older age patients.
Keywords: Femur, Bipolar hemiarthroplasty, Neck fracture