European Journal of Molecular & Clinical Medicine

Abstract

Background: Fracture of the intracapsular femur neck is a commonly reported fracture in the Department of Orthopedics. The management of the intracapsular femur neck fracture using cemented bipolar hemiarthroplasty has yielded good outcomes in elderly subjects.
Aim: The present study was conducted to evaluate functional outcomes following management of intracapsular femur neck fracture using cemented bipolar hemiarthroplasty.
Materials & Methods: The present prospective clinical study was conducted on 28 subjects diagnosed with an intracapsular femur neck fracture. After management, the results were assessed and categorized as: Poor, fair, good, and excellent based on the Harris Hip Score.
Results: On assessing the Harris Hip scores grading in the study subjects, it was seen that poor scores were seen in 10.71% (n=3) subjects, the Harris hip scores were fair in 25% (n=7) study subjects, the good scores were noted in 50% (n=14) study subjects, and the excellent scores were seen in 14.28% (n=4) study subjects. Concerning the radiological parameters in the study subjects, it was seen that radiological gradings were excellent, good, and poor in 50% (n=14), 39.28% (n=11), and 10.71% (n=3) study subjects respectively. The ectopic eruption was present in 17.85% (n=5) of study subjects and was absent in 882. 14% (n=23) study subjects. Neck shaft angle was >140^o in 46.42% (n=13) study subjects and was 110⁰-140^o in 53.57% (n=15) study subjects. Femoral anteversion was 15±5⁰ in 46.42% (n=13) study subjects, <10⁰ in 21.42% (n=6) study subjects, and was >20^o in 32.14% (n=9) study subjects.
Conclusion: The present study concluded that one of the best ways for managing intracapsular femur neck fracture is cemented bipolar arthroplasty which shows good clinical outcomes in elderly subjects. To assess the complications continuous radiological and clinical testing is vital.