Prospective study of functional outcome in surgical management of intracapsular femur neck fracture treated using modular bipolar prosthesis in elderly

Abstract

Background: Displaced femoral neck fractures are common in the elderly patient, it is predicted that, the number of hip fractures would triple by 2050, and these patients are subjected to an increased disability, morbidity, and mortality. The optimal treatment for displaced fracture neck of femur with best clinical outcome is still inconclusive and determined by the mobility and functional demands of the patient. Materials and Methods: Thirty cases of fracture neck of femur in elderly patients above the age of 60 years treated by hemiarthroplasty using bipolar prosthesis between November 2018 to May 2020 were selected according to inclusion and exclusion criteria. Cases were followed up for 6 months and the short term functional results were analysed by using modified Harris hip score. Results: out of 30 patients, most of the patients were in the age group of 60 to 70 years with mean average age of 68.9 years. Females were predominant, there were 36% excellent results and 43% good results. Conclusion: Modular Bipolar hemiarthroplasty for fractures neck femur provides better range of movement, freedom from pain and more rapid return to unassisted activity with an acceptable complication rate. The end functional results depend on the age of the patient, associated co-morbidity and optimum post-operative rehabilitation. Early functional results are satisfactory.