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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 12, Issue 2, September 2014 pp 353-357
Evaluation of treatment of fracture neck fermur with uncemented bipolar prosthesis
Abdul Naser1*, Sarang Vyawahare2
1Assistant Professor, Department of Orthopaedics, IIMSR Medical College Wadudi, Jalna, Maharashtra, INDIA.
2Orthopaedic Consultant, Aurangabad, Maharashtra, INDIA.
Background: The Incidence of Femoral Neck Fracture is On an Increase. Despite Marked Improvement in Implant Design, Surgeon technique and Patient Care, This Fracture Still remains the Unsolved Fracture. In the elderly replacement arthroplasty is better option in View of critical blood supply of femoral head, osteoporosis, prolonged immobility in elderly patient Considering the social economic status, cost factor, demand of squatting and sitting cross legged, operating conditions, Bipolar arthroplasty whereas can be conducted even in remote areas, is cost effective, result even at the hand of general orthopedic surgeons are good and does not change much the life style of Indian population. Material and methods: All patent above the age of 55 years suspected of having an intracapsular fracture of the femoral neck coming to the casualty were considered for this. Detailed history of the mechanism of the injury, associated injuries Anteroposterior X- rays of the hip and lateral x-rays were taken presence of absence of osteoporosis were noted. Also the part of the neck remaining above the lesser trochanter was noted, Bipolar Prosthesis was used, Lateral Position was given and Moore’s approach was used. Results: In the Presence Series total no of cases were 50 of which mean age of patient were 60 years and mean follow-up was 2 years, The mean post operative Harris hip score was 84 points, 50% of cases were excellent out come with no pain no limp with normal life style. Conclusion: Bipolar prosthesis could be used as replacement arthroplasty in intracapsular fracture neck femur on a larger scale ensuring early mobilization and ambulation of elderly patients.