A COMPARATIVE STUDY OF CLINICAL AND FUNCTIONAL OUTCOME IN PATIENTS OF FRACTURE NECK OF FEMUR TREATED WITH CEMENTED AND UNCEMENTED BIPOLAR HEMIARTHROPLASTY
Dr. Shardul Gawande
, Dr. Ashish Somani , Dr. Kailas Ghorpade , Dr. Prashant Dumbare , Dr. Het Patel
• Hemiarthroplasty is a common surgery done for displaced fractures of neck of femur [1]. Usually femoral neck fractures are associated with higher morbidity and mortality [2].
• Even if union occurs, there is a chance of avascular necrosis of the head of the femur. Moreover, there are high chances of secondary osteoarthritis. All this leads to an increased number of surgeries, which increases the morbidity and mortality of the patients., so rather than considering internal fixation in these patients, prosthetic replacement is better option for displaced fracture neck of femur. Replacement of the head of the femur alone is hemi replacement arthroplasty. It may be either unipolar or bipolar replacement arthroplasty.
• Various prostheses are in use for arthroplasty, but the concern with the prosthesis is stem loosening and migration.
• Use of PMMA cement offers definite advantages as it acts as a grouting agent to replace thinning trabecular bone, offering immediate interference stability between implant and bone, thus greatly simplifying rehabilitation. Bipolar arthroplasty was introduced to prevent or retard acetabular wear.
• Bipolar hemiarthroplasty prosthesis decreases the acetabular erosion and can be used in younger patients. It improves stability due to self-centering or self-aligning mechanism. Recently, many surgeons are evaluating effectiveness of cemented and uncemented hemiarthroplasty for fracture neck of femur. There is evidence for better results in terms of mobility, revision rates and thigh pain after cemented hemiarthroplasty in spite of longer duration of surgery and blood loss during the procedure [3,4].
• There is evidence for use of cemented hemiarthroplasty resulting in greater anchoring and lesser periprosthetic fracture. However, cemented prosthesis may result in more mortality from hemodynamic instability and cardiopulmonary complications termed as ‘cement reaction’ or bone cement implantation syndrome [5,6]. In contrast, uncemented hemiarthroplasty procedures may result in loosening of prosthesis and post-operative fractures and thigh pain [7]. In addition, the procedure is less strenuous, and blood loss during procedure is low [8-10].
• So in view of these varied opinions we desire to compare the efficiency of outcome in patients of fracture neck of femur with cemented and uncemented bipolar hemiarthroplasty.
"A COMPARATIVE STUDY OF CLINICAL AND FUNCTIONAL OUTCOME IN PATIENTS OF FRACTURE NECK OF FEMUR TREATED WITH CEMENTED AND UNCEMENTED BIPOLAR HEMIARTHROPLASTY", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.10, Issue 3, page no.a40-a46, March-2025, Available :https://ijsdr.org/papers/IJSDR2503004.pdf
Volume 10
Issue 3,
March-2025
Pages : a40-a46
Paper Reg. ID: IJSDR_300588
Published Paper Id: IJSDR2503004
Downloads: 000165
Research Area: Humanities All
Country: Pune, 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
