STUDY OF OUTCOME IN UNCEMENTED MODULAR HEMIARTHROPLASTY/CEMENTED HEMIARTHRO PLASTY IN GERIATRIC POPULATION
Dr.Pendyala S
, Dr.Prafulla Herode , Dr.Ashish Somani , Dr.Kailash N.Ghorpade , Dr. Karan Bhagade
Keywords → uncemented, Cemented, Hemiarthroplasty, Geriatric
Background: As healthcare costs rise, evaluating treatment methods for femoral neck fractures to determine the most effective approach has become increasingly important. The management of displaced intracapsular hip fractures in the elderly remains a topic of debate. Treatment options include hemiarthroplasty and total hip arthroplasty. While total hip arthroplasty has demonstrated superior pain relief and clinical outcomes, it is associated with high mortality rates in the frail elderly population typically affected by femoral neck fractures. On the other hand, hemiarthroplasty provides good pain relief and predictable results with lower reoperation rates, but it is linked to higher morbidity. Aim → To compare the quality of life in the elderly population who have undergone cemented versus uncemented bipolar prosthesis. Material and Methods A comparative study was conducted on geriatric patients with femoral neck fractures who were treated at the orthopaedic department of a tertiary care centre. Specific criteria were applied, dividing the patients into two groups: Group I underwent cemented hemiarthroplasty, while Group II underwent uncemented hemiarthroplasty. The outcomes between these two groups were then compared. Results → The mean age was 73.8 ± 8.2 years in the cemented group and 73.5 ± 7.6 years in the uncemented group (p-value = 6.8). The mean duration of surgery was 88.7 ± 11.5 minutes for the cemented group and 76.06 ± 7.1 minutes for the uncemented group. This indicates that uncemented surgery required less time than cemented surgery, with a significant p-value of < 0.001. Regarding final outcomes, 28 patients in the uncemented group were more satisfied compared to 26 patients in the cemented group; however, this difference was not statistically significant (p-value = 0.1). conclusion → The study concludes that using the uncemented procedure for hip hemiarthroplasty in elderly patients with osteoporotic bone conditions is a better option. Uncemented hemiarthroplasty offers better pain relief, a full range of motion, and an earlier return to unassisted daily activities. Although hemiarthroplasty is conventionally performed in a cemented fashion, uncemented modular hemiarthroplasty provides good primary anchorage with equally promising results. Keywords → uncemented, Cemented, Hemiarthroplasty, Geriatric
"STUDY OF OUTCOME IN UNCEMENTED MODULAR HEMIARTHROPLASTY/CEMENTED HEMIARTHRO PLASTY IN GERIATRIC POPULATION", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.9, Issue 6, page no.1173 - 1176, June-2024, Available :https://ijsdr.org/papers/IJSDR2406138.pdf
Volume 9
Issue 6,
June-2024
Pages : 1173 - 1176
Paper Reg. ID: IJSDR_211891
Published Paper Id: IJSDR2406138
Downloads: 000347094
Research Area: Medical Science
Country: Loni, Ahmed Nagar , Maharashtra , India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
