EARLY CLINICAL RESULTS OF MODULAR BIPOLAR HEMIARTHROPLASTY FOR FRACTURES OF FEMORAL NECK.

Fractures of neck of femur are commonly seen in elderly people although all age groups can be affected, but increased predilection is seen in osteoporotic bones. The objective of treatment of femoral neck fractures in the mobile elderly population is early restoration of premorbid walking ability and quality of life. . Hemi or total hip arthroplasty is an accepted treatment of fracture neck of femur in the elderly. This study was carried out in the Department of Orthopaedics, Govt. Medical College Jammu during the period of August 2015 to December 2016. Patients operated till June 2016 were included in the study. All the patients who presented in the Department with intracapsular fractures of neck of femur were classified according to Garden?s Classification and those who meet the eligibility criteria were included in the study. The mean age was 72.4 years. The range of age was 61 - 88 years. There were 12 (40%) male cases and 18 (60%) female cases (sex ratio 1:1.5). There were 18 (60%) Garden?s type IV fractures and 12 (40%) Garden?s type III fractures. All patients were followed for period of 12 months. The average Harris Hip Score was 81.26(range 69- 91). 76.67% of patients achieved good to excellent results. 16.66%patients had fair outcome. 2 patients had poor results. The treatment of these commonly found fractures with modular bipolar hemiarthroplasty has given promising results. The short term outcome from this study provides evidence that this is suitable treatment option in displaced intracapsular fracture neck of femur in elderly.