Volume : VI, Issue : III, March - 2016

CEMENTED BIPOLAR HEMIARTHROPLASTY IN FEMORAL NECK FRACTURES IN ELDERLY

Abhijit Sarkar, Rakesh Rajput

Abstract :

<p>  Femoral neck Fracture is a common orthopaedic problem in the elderly. Failure and complications following internal fixation have led to increase in replacement Arthroplasty procedures. Problems are more so with displaced fracture i.e. Garden type–III and type–IV. While it is essential to make them mobile as early as possible, to help rapid physiological recovery and avoid complication of immobilization, it is difficult to ensure non–weight beå in the post–operative period. A total of 40 bipolar hemi–arthroplasties were performed in fracture neck femur (fresh and old) and patients were followed for a maximum period of four years. The results were evaluated on the basis of Harris Hip scoring system. The average Harris Hip score in this study was 82 points. Hemi or total hip Arthroplasty is an accepted treatment of fracture neck of femur in the elderly. (1, 2) cemented prostheses have been used with high success rates. ( 1, 5, 6) Thompson and Austin more prostheses and their derivatives have been widely used in the treatment of conditions requiring replacement of femoral head. Despite the over–all clinical satisfaction, with the use of these implants, there have been several complications. The incidence of femoral loosening, acetabular wear, demonstrated by the presence of joint space narrowing in x–ray have been well documented. The bipolar concept was born out of the necessity to establish firm fixation of the stem in the femoral shaft and yet to eliminate shear forces between metallic prosthetic head and acetabular cartilage by the interposition of the low friction inner ultra–high molecular weight polyethylene beå insert (UHMWPE) within the implant. The overall range of motion is predictably greater than that of conventional, Austin Moore or Thompson femoral head prostheses.</p>

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Abhijit Sarkar, Rakesh Rajput CEMENTED BIPOLAR HEMIARTHROPLASTY IN FEMORAL NECK FRACTURES IN ELDERLY Indian Journal of Applied Research, Vol.6, Issue : 3 March 2016


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