Abstract
Background: The femoral neck fracture remains an uncovered fracture, and therapy guidelines are constantly improving. Hip fractures are a common injury in emergency rooms, particularly among the elderly. It is also seen in young patients who participate in athletics or suffer from high-energy injuries. To avoid problems, immediate diagnosis and treatment are necessary. Aim of the Study: The goal of this study was to investigate the complications of bipolar hemiarthoplasty for femoral neck fractures in the elderly. Methods: This study was conducted in 250 Bedded General Hospital, Pabna, Bangladesh, from January 2023 to January 2024. The study included patients who were admitted and underwent bipolar hemiarthroplasty. All collected data was entered into a Microsoft Excel Work Sheet and analyzed descriptively using SPSS 11.5. Results: The patients' ages varied from 60 to 85 years, with a mean of 66.5 years. Out of 100 patients, 55 (55%) were females and 45 (45%) were males. Of the 100 patients, 32 (32%) had fractures on the left side and 68 (68%) had fractures on the right side. In our study, 75 patients (75%) received injuries from falls on the ground, 19 patients (19%) from road traffic accidents, and 6 patients (6%) from assault. Out of 100 patients, 44 (44%) underwent surgery within <10 days of injury, 22 (22%) within 10-30 days, 7 (7%) within 30-50 days, 16 (16%) within 50-70 days, and 11 (11%) within >70 days. Out of 100 patients, 4 (4%) had a prosthesis with a 39 mm head size, 12 (12%) had a prosthesis with a 41 mm head size, 18 (18%) had a prosthesis with a 43 mm head size, 27 (27%) had a prosthesis with a 45 mm head size, 17 (17%) had a prosthesis with a 47 mm head size, and 18 (18%) had a prosthesis with a 49 mm head size. Conclusion: According to the study, even if the incidence of other complications was comparable to that reported in the literature, hemiarthroplasty was not a good procedure for patients with a longer life expectancy.
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