Online ISSN: 2515-8260

Keywords : Bipolar Hemiarthroplasty


Functional Outcome of Fracture Neck of Femur in Patients Above 60 Years Treated by Bipolar Hemiarthroplasty by Transgluteal Anterior Approach

Pathik Vala, Jayesh Vaza, Gaurav Parikh, Vijay Patel, Rajesh Chavda, Vinay Bhuria

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10963-10973

Background: Femoral neck fractures in the elderly are frequent, represent a great health care
problem, and have a significant impact on life of the patient as well as the family. This study
represents the results of displaced intracapsular femoral neck fracture managed with
hemiarthroplasty by bipolar with transgluteal approach (direct lateral approach).
Methods: In this prospective observational study we included thirty patients of intracapsular
neck of femur fracture treated with hemiarthroplasty using bipolar prosthesis by transgluteal
approach (direct lateral approach). In this study we included patients age above 60 years with
closed displaced intracapsular fracture neck of femur. We excluded patients with open
extracapsular fracture neck of femur. We collected our data by interview and regular follow
up. Our study design prospective and observational. Our study having maximum follow up of
1.5 years and minimum of 3 months. Patients from third decade of life onwards and both the
sexes, presenting to the Orthopaedic Outpatient Department in casualty or regular OPD with
history of household fall or minor or moderate trauma or sometimes with road traffic
accident. Harris hip score was used for the outcome of the patients and their follow up.
Results: In our study of 30 patients with femoral neck fracture treated with bipolar
hemiarthroplasty with transgluteal approach (direct lateral approach), we observed 6(20%)
patients with Harris hip score between 90-100, 17(56.66%) patients with Harris hip score
between 80-89, 5(16.67%) patients with Harris hip score between 70-79 and 2(06.66%)
patients with Harris hip score between < 70. In our study we observed five (16.67%) patients
with limb length discrepancy, one (3.33%) patient had prosthesis dislocation. We also
observed 6(20%) patients with excellent result, 17(56.66%) with good result, 5(16.67%) with
fair result and 2(06.66%) with poor result.
European Journal of Molecular & Clinical Medicine
ISSN 2515-8260 Volume 9, Issue 3, Winter 2022
10964
Conclusions: Our study involves observations of thirty cases of intracapsular femoral neck
fracture treated with hemiarthroplasty using bipolar prosthesis by transgluteal approach
(Direct Lateral Approach) has advantages in terms of early functional recovery, decrease
residual pain, and decrease incidence of prosthetic dislocation as compare with posterior
approach. Our study suggests that transgluteal approach (Direct Lateral Approach) required
proper long learning curve and expertise of procedure and proper closure.