Manoj Kumar Gudluru, Naresh Eamani
Fracture neck of femur as well as hip fractures in general, represent a major challenge to today’s healthcare systems, probably due to higher mortality and morbidity, frequent lengthy hospitalisation and post-operative complications. Problems of the hip joint, whether due to trauma or arthritis need considerable skill and judgment on the part of the surgeon. Bipolar hip replacement offers a durable and versatile solution for many problems of the hip, in which replacement of the head and neck of the femur results in a rapid return of function and a painless hip. The aim of the study is to evaluate the efficacy of bipolar hip prosthesis in treatment of intracapsular fracture neck of femur in the elderly and physiologically younger patients. The emphasis is on treating with bipolar hip prosthesis in physiologically younger patients. MATERIALS AND METHODS Twenty-five patients of age 40 to 70 years were referred to Department of Orthopaedics, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation. They were screened and enrolled for this study. Patients were counseled and an informed consent taken for enrolment in the study after fulfilment of inclusion criteria. Upon enrolment into study, all patients were subjected to clinical and laboratory investigations as necessary. All surgeries were performed under standard aseptic precautions through Moore’s/Southern Exposure and Hardinge approach. All patients were followed-up at regular intervals. RESULTS In our study, uncemented technique was used in bipolar hemiarthroplasties for 21 patients. Five cases had associated injuries. Leg length discrepancy (3) and sciatic nerve injury (1) were immediate complications of surgery. Early complications were haematoma (2) and deep infections. Late complications were sinking (2 patient) and death of a patient. The Mean Harris Hip Score was 86. Fair, good and excellent results were observed in 16%, 60% and 16% of the study patients. CONCLUSION Bipolar hip prosthesis offers a long-term solution in patients with intracapsular fractures of the neck of femur due to multiple advantages. The procedure offers advantages like painless mobility, ease of rehabilitation and return of function.
