Prospective Comparative Assessment of Cemented and UnCemented Hemiarthroplasty Management of Fracture Neck of Femur in Elderly Patients
Creators
- 1. Senior Resident, Department of Orthopaedics, IGIMS, Patna, Bihar, India
- 2. Senior Resident, Department of Orthopaedics, Varun Arjun Medical College and Rohilkhand Hospital, Sahjanpur, Uttar Pradesh, India
- 3. Assistant Professor, Department of Orthopaedics, IGIMS, Patna, Bihar, India
- 4. Junior Resident, Department of Orthopaedics, IGIMS, Patna, Bihar, India
Description
Aim: Comparative study between cemented and un-cemented hemiarthroplasty management of fracture neck of femur in elderly patients. Methods: The prospective comparative study was done at tertiary health care centre of north india and ethical clearance was taken for 2 years included 50 cases of intracapsular fracture neck of femur in the elderly aged more than 60 years where 25 patients were treated by hemiarthroplasty using uncemented fenestrated prosthesis whereas 25 patients were treated with hemiarthroplasty using cemented non-fenestrated prosthesis. Results: 50 patients with fracture neck femur were operated on for hemiarthroplasty, cemented or uncemented, during the study period. The mean age was 66.30 ± 5.78years with the cemented cohort and 64.36 ± 6.20years in the uncemented cohort. Of these, 22 (44%) were men and 28(56%) were female. The most common mechanism of injury was a trivial fall (88%) as opposed to a road traffic accident (12%). Conclusion: Bipolar hemiarthroplasty whether cemented or uncemented is an excellent treatment for fracture neck femur. No significant difference between both methods in terms of functional outcome. Cemented hemiarthroplasty results in more blood loss and takes more operative time but is associated with less post-operative pain and complication and better functional outcome.
Abstract (English)
Aim: Comparative study between cemented and un-cemented hemiarthroplasty management of fracture neck of femur in elderly patients. Methods: The prospective comparative study was done at tertiary health care centre of north india and ethical clearance was taken for 2 years included 50 cases of intracapsular fracture neck of femur in the elderly aged more than 60 years where 25 patients were treated by hemiarthroplasty using uncemented fenestrated prosthesis whereas 25 patients were treated with hemiarthroplasty using cemented non-fenestrated prosthesis. Results: 50 patients with fracture neck femur were operated on for hemiarthroplasty, cemented or uncemented, during the study period. The mean age was 66.30 ± 5.78years with the cemented cohort and 64.36 ± 6.20years in the uncemented cohort. Of these, 22 (44%) were men and 28(56%) were female. The most common mechanism of injury was a trivial fall (88%) as opposed to a road traffic accident (12%). Conclusion: Bipolar hemiarthroplasty whether cemented or uncemented is an excellent treatment for fracture neck femur. No significant difference between both methods in terms of functional outcome. Cemented hemiarthroplasty results in more blood loss and takes more operative time but is associated with less post-operative pain and complication and better functional outcome.
Files
IJPCR,Vol15,Issue2,Article66.pdf
Files
(4.1 MB)
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Additional details
Dates
- Accepted
-
2023-02-08
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article66.pdf
- Development Status
- Active
References
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