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Results of cemented bipolar hemiarthroplasty for fracture of the femoral neck - 10 year study

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Author(s): Maini P | Talwar Navin | Nijhawan V | Dhawan Manish

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 40;
Issue: 3;
Start page: 154;
Date: 2006;
Original page

Keywords: Displaced fracture femoral neck; cemented bipolar hemiarthroplasty

ABSTRACT
Background : One of the most common treatments of displaced fracture of femoral neck in elderly is bipolar hemiarthroplasty. Method : Two hundred and seventy patients of displaced fracture of femoral neck were treated by bipolar hemiarthroplasty. The Mean age of the patients at the time of surgery was 69.80 years. Results : Follow up ranged between 12 months and 120 months. There were 8 cases each of acetabular erosion and protrusion with 10 cases of femoral stem loosening. Eight cases had post operative dislocation requiring open reduction. Eighteen patients got revision surgery to total hip replacement. The overall incidence of DVT/PE was 9.9% which declined after regular use of low molecular weight heparin. Eleven patients had post operative infection. There were 54.2 % excellent results, 21.0 % good results, 10.7 % fair and 3.7% poor results. Conclusion : Elderly patients with displaced fracture of neck femur are able to ambulate early after Cemented bipolar hemi arthroplasty. The complication rate is low, the component survival long and pre injury functional status is restored in majority of patients.
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