Management of Neglected Fracture Neck of Femur by Cemented Bipolar Hemiarthroplasty in Elderly
Year: 2024
Type: article
Abstract: Background: Femur neck fractures are always a great challenge to orthopaedic surgeons in terms of management and outcome. In developing countries the fracture often remainsuntreated as the patients do not seek treatment due to nonavailability of treatment facility or may be treated primarily by osteopaths or operated under suboptimal theatre conditions with poor quality implants. In addition to the relative rarity of the injury, there has been a high incidence of avascular necrosis and nonunion reported in the literature. Objectives: This study was to know the outcome of neglected fracture neck of femur in elderly patients treated with cemented bipolar hemiarthroplasty. Materials and methods: This is both a retrospective and prospective study of eighteen cases as per the inclusion and exclusion criteria and were operated with cemented bipolar hemiarthroplasty. Their return to pre-injury activity level and complications were assessed for a minimum of 6 months follow up and patient satisfaction was noticed. Results: wo patients had DVT before surgery, three patients had bed sores, 10 patients had co-morbidities and all were appropriately treated. Post-operatively there were no cases of sciatic nerve palsy, infection, dislocation and no case of post-operative DVT. Two patients had limb length discrepancy, one patient had chronic hip pain and altered gait. 83% had excellent results and 15 of them returned to almost pre-injury level activities, 1 patient had chronic hip pain and altered gait, and 2 patients had limb length discrepancy. Conclusion: Cemented bipolar hemiarthroplasty in neglected fracture neck of the femur gives good results with early mobilization and returns to pre-injury activity level.
Author: Eswara Reddy G
Language: English
Topic: Hip and Femur Fractures
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W4412194979