1. Comparison of functional outcome of bipolar hip arthroplasty and total hip replacement in displaced femoral neck fractures in elderly in a developing country: a 2-year prospective study
- Author
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Pradeep Kumar Meena, Jayesh Chandrakant Sonaje, Ramesh Chandra Bansiwal, and Sandesh Satish Bobade
- Subjects
Male ,medicine.medical_specialty ,Arthroplasty, Replacement, Hip ,Operative Time ,Total hip replacement ,Blood Loss, Surgical ,Femoral Neck Fractures ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Blood loss ,Randomized controlled trial ,law ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Femur ,030212 general & internal medicine ,Prospective Studies ,Prospective cohort study ,Developing Countries ,Aged ,030222 orthopedics ,business.industry ,Middle Aged ,Surgery ,Hip arthroplasty ,Treatment Outcome ,Harris Hip Score ,Female ,business - Abstract
To compare the short-term functional outcome between bipolar hip arthroplasty (BHA) and total hip replacement (THR) in displaced femoral neck fractures in elderly patients in a developing country. A prospective study was conducted which included a total of 42 patients of age more than 60 years with closed displaced femoral neck fractures, and the patients were randomized into two groups of 21 patients each and their outcomes were compared. At 24-month follow-up, patients in BHA group had a mean modified Harris hip score of 83.85 ± 6.62 and patients in THR group had a mean modified Harris hip score of 88.00 ± 5.76 (p value = 0.067). Seven (35%) patients in BHA group and 11 (55%) patients in THR group had hip scores from 91 to 100 (excellent), 9 (45%) patients in BHA and seven patients (35%) in THR had hip scores 81โ90 (fair) and 4 (20%) patients in BHA group and 2 (10%) patients in THR group were rated 71โ80 (good) and none was found in poor category. Total amount of blood loss while performing BHA was 238.15 ± 20.43 ml compared to 336.85 ± 23.56 ml in THR (p
- Published
- 2017