Midterm Results of Hip Bipolar Hemiarthroplsty in Elderly Patients with Traumatic Femoral Neck Fractures

Abstract

Background & Objectives: Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. Hip fractures especially in the elderly imposed many problems to health care system. In these patients with proper treatment and rapid ambulation complications is reduced. The purpose of this study was to evaluate the results of bipolar hemiarthroplasty treatment in the traumatic femoral neck fractures. Materials and Methods: In this descriptive analytical study, 50 patients candidate to hip arthroplasty were studied. Short-term complications and functional abilities were assessed with the Harris Hip Score questionnaire. Results: In this study, 40 patients with a mean age of 76.3 ± 8.2 years, including 12 men (30%) and 28 women (70%) were studied. The mean functional hip score was 78/02 ± 20.8. Between men and women were significant statistical difference according to hip function scores which men had earned a better score than women. The main complications were a dislocation and infection. In three cases there was a need for further surgery. At follow-up 35 patients (87.5%) had no pain, and 30 (75%) walked with a cane. Conclusion: According to our results bipolar hip arthroplasty for hip fractures has good functional outcome. As regards to possible suitable placement for each patient is more stable and is not associated with significant complications.