A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty
Background: One of the frequent causes of elderly morbidity and mortality is hip fractures. Young patients who encounter high-energy trauma or participate in sporting competitions may also experience it. To prevent threatening joint issues, it must be diagnosed and treated right away. Over 50% of al...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-05-01
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| Series: | Journal of Orthopaedic Diseases and Traumatology |
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| Online Access: | https://journals.lww.com/10.4103/jodp.jodp_18_24 |
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| author | Joydeep Das Chinta Shyam Kumar |
| author_facet | Joydeep Das Chinta Shyam Kumar |
| author_sort | Joydeep Das |
| collection | DOAJ |
| description | Background:
One of the frequent causes of elderly morbidity and mortality is hip fractures. Young patients who encounter high-energy trauma or participate in sporting competitions may also experience it. To prevent threatening joint issues, it must be diagnosed and treated right away. Over 50% of all hip fractures are intracapsular femoral neck fractures. The lifetime risk of hip fracture is between 13% and 22% for males and between 40% and 50% for women.
Materials and Methods:
Thirty patients with intracapsular fracture neck of the femur were included in our study and treated with bipolar hemiarthroplasty. Preoperative functional assessment was done with Harris Hip Score (HHS), and radiologic assessment was done with X-ray pelvis with both hips anteroposterior (AP) view and X-ray of affected hip AP and lateral view.
Results:
Males were affected more than females with a mean age of 66.27 years. The maximum cause of injury was fall with the right hip more affected than the left. Maximum patients presented between 24 h and 72 h with a predominance of transcervical type of fracture. The study included patients who were treated with bipolar hemiarthroplasty. On regular follow-ups at the 6th week, 12th week, 18th week, and 6th month, HHS was recorded for functional outcomes, and plain AP and lateral X-ray of the operated hip were taken for radiological outcomes.
Conclusions:
At the end of the study, we found that there is a significant improvement of HHS (P < 0.05) from baseline preoperative HHS, and 83.34% of patients had no pain to mild pain. We also found that 93% of patients had excellent-to-good outcomes. |
| format | Article |
| id | doaj-art-a908829583fd4bcaab9af440d36ddfa1 |
| institution | DOAJ |
| issn | 2665-9352 2665-9360 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopaedic Diseases and Traumatology |
| spelling | doaj-art-a908829583fd4bcaab9af440d36ddfa12025-08-20T03:04:54ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedic Diseases and Traumatology2665-93522665-93602024-05-017215315910.4103/jodp.jodp_18_24A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar HemiarthroplastyJoydeep DasChinta Shyam KumarBackground: One of the frequent causes of elderly morbidity and mortality is hip fractures. Young patients who encounter high-energy trauma or participate in sporting competitions may also experience it. To prevent threatening joint issues, it must be diagnosed and treated right away. Over 50% of all hip fractures are intracapsular femoral neck fractures. The lifetime risk of hip fracture is between 13% and 22% for males and between 40% and 50% for women. Materials and Methods: Thirty patients with intracapsular fracture neck of the femur were included in our study and treated with bipolar hemiarthroplasty. Preoperative functional assessment was done with Harris Hip Score (HHS), and radiologic assessment was done with X-ray pelvis with both hips anteroposterior (AP) view and X-ray of affected hip AP and lateral view. Results: Males were affected more than females with a mean age of 66.27 years. The maximum cause of injury was fall with the right hip more affected than the left. Maximum patients presented between 24 h and 72 h with a predominance of transcervical type of fracture. The study included patients who were treated with bipolar hemiarthroplasty. On regular follow-ups at the 6th week, 12th week, 18th week, and 6th month, HHS was recorded for functional outcomes, and plain AP and lateral X-ray of the operated hip were taken for radiological outcomes. Conclusions: At the end of the study, we found that there is a significant improvement of HHS (P < 0.05) from baseline preoperative HHS, and 83.34% of patients had no pain to mild pain. We also found that 93% of patients had excellent-to-good outcomes.https://journals.lww.com/10.4103/jodp.jodp_18_24bipolar hemiarthroplastyfracture neck of the femurharris hip scoreintracapsular |
| spellingShingle | Joydeep Das Chinta Shyam Kumar A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty Journal of Orthopaedic Diseases and Traumatology bipolar hemiarthroplasty fracture neck of the femur harris hip score intracapsular |
| title | A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty |
| title_full | A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty |
| title_fullStr | A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty |
| title_full_unstemmed | A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty |
| title_short | A Clinical Study on Intracapsular Fracture Neck of Femur Treated with Bipolar Hemiarthroplasty |
| title_sort | clinical study on intracapsular fracture neck of femur treated with bipolar hemiarthroplasty |
| topic | bipolar hemiarthroplasty fracture neck of the femur harris hip score intracapsular |
| url | https://journals.lww.com/10.4103/jodp.jodp_18_24 |
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