Volume : 6, Issue : 12, December - 2017

EARLY OUTCOME OF HEMIREPLACEMENT ARTHROPLASTY IN FRACTURE NECK FEMUR USING CEMENTED BIPOLAR PROSTHESIS

Janak Rathod, Anas Shaikh

Abstract :

<p>&nbsp;<b><span style="font-size:12.0pt;line-height:115%">BACKGROUND</span></b></p> <div class="WordSection1"> <p class="MsoNormal"><span style="font-size:12.0pt;line-height:115%">Fracture of the neck femur has always presented challenges to orthopaedic surgeons and remains, in many ways, today the unsolved fracture as far as treatment and results are considered. Hemi-replacement Arthroplasty is now the established modality of treatment in fresh fracture of femoral neck in the elderly, largely due to failure of other modalities of treatment such as internal fixation.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%">MATERIAL AND METHODS<o:p></o:p></span></b></p> <p class="MsoNormal"><span style="font-size:12.0pt;line-height:115%">The present study was conducted at the Department of Orthopaedics, SMIMER, Surat. The study analyzed results in 25 patients with fracture neck femur treated with hemireplacement arthroplasty using cemented bipolar prosthesis during the period from March 2015-August 2015<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%">RESULTS<o:p></o:p></span></b></p> <p class="MsoNormal"><span style="font-size:12.0pt;line-height:115%">Bipolar Hemireplacement Arthroplasty is an effective mode of treatment to restore the function, allowing early mobilization in elderly patients with femoral neck fractures and consistently providing excellent results with negligible complications.<o:p></o:p></span></p> </div> <p><b><span style="font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;&#10;mso-fareast-font-family:Calii;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font:&#10;minor-latin;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">< clear="all" style="page-eak-before:auto;mso-eak-type:section-eak" /> </span></b></p> <div class="WordSection2"> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%">CONCLUSIONS<o:p></o:p></span></b></p> </div> <p><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;&#10;mso-ascii-theme-font:minor-latin;mso-fareast-font-family:Calii;mso-fareast-theme-font:&#10;minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-theme-font:minor-bidi;mso-ansi-language:EN-US;mso-fareast-language:&#10;EN-US;mso-bidi-language:AR-SA">< clear="all" style="page-eak-before:always;&#10;mso-eak-type:section-eak" /> </span></p> <p class="MsoNormal"><span style="font-size:12.0pt;line-height:115%">Bipolar prosthesis is a safe option in treating fracture neck of femur in the elderly with good recovery in-spite of having several co-morbidities. Primary hemiarhtroplasty provides stable pain free mobile joint. Early mobilization is possible avoiding the problems of recumbency.<o:p></o:p></span></p>