Journal article Open Access
Dr. Shakeel Ahmed, Dr. Abbas Memon, DR. MEHTAB AHMED PIRWANI
To evaluate outcome of neck fracture of the femur grade III and IV when treated by Bipolar hemiarthoplasty in elderly. Total 42 elderly cases were incorporated in study having neck fracture of femur with grade III and IV, and every one of the cases were chosen from the emergency department and OPD of LUH Hyderabad. All the pregnant women and cases not fit for anesthesia, or having any other severe disease like diabetes, hepatitis, arthritis or cardiovascular were not selected for this study. Totally selected cases were underwent a surgical technique (Bipolar Hemiarthoplasty). Data regarding cases of fracture, gender and post operative complications were noted functional outcome had evaluated according to Harris Hip Score. Mean age was 67.44+5.22 years. Females were in majority. According to Garden’s classification grade IV was most common with 55%of the cases. Out of total cases 50% were slipped, and 19.1% cases fall from height, while 30.9% were injured due to road traffic accident. With respect to the complications severe pain in 10/(23.90%) cases. Deep infection was in 2/(4.76%) cases. Bed sore were in 4/(9.52%) cases during hospital stay, UTI developed in 3/(8.0%), while dislocation was the main complication and found in 1/(2.38%) cases. Mortality was 11.9%. 32.44% cases showed excellent results, 40.55% cases shows good and 13.50% cases shows satisfactory results, while 13.50% shows poor results. Bipolar hemiarthoplasty is very good treatment option for fracture of femur neck in old age cases.