Key result
Bipolar hemiarthroplasty yielded a slightly better functional outcome with a mean post-operative Harris Hip Score of 90.2 compared to 88.2 for unipolar hemiarthroplasty in adults with displaced intracapsular femoral neck fractures.
Why the study?
Displaced neck of femur fractures in adults cause significant morbidity and mortality, while unipolar and bipolar hemiarthroplasty aid early mobilization and prolong productive life.
Does bipolar hemiarthroplasty improve functional and radiological outcomes compared to unipolar hemiarthroplasty in adults with displaced intracapsular fracture neck of femur?
Cohort (n=50)
No
Does bipolar hemiarthroplasty improve functional and radiological outcomes compared to unipolar hemiarthroplasty in adults with displaced intracapsular fracture neck of femur?
Bipolar hemiarthroplasty provides slightly better functional and radiological outcomes compared to unipolar hemiarthroplasty for displaced intracapsular femoral neck fractures.
May favor bipolar hemiarthroplasty for marginal functional gain in femoral neck fractures; leaves open confirmation in randomized trials.
Displaced neck of femur fracture in adults and its complications are responsible for a significant amount of morbidity and mortality. Unipolar and bipolar hemiarthroplasty helps in early mobilization of the patient as well as prolongs their productive life. 50 patients with intracapsular fracture neck of femur were included in this study. 25 patients were treated with unipolar hemiarthroplasty and 25 patients with bipolar hemiarthroplasty, respectively. Patients belonging to both the groups were evaluated for functional outcome by using the Harris Hip Score. Patients were also evaluated radiologically. Our overall mean Harris hip score pre-operatively for unipolar hemiarthroplasty was 37.5 and bipolar hemiarthroplasty was 41, which increased to a score of 88.2 for unipolar and 90.2 for bipolar hemiarthroplasty. While the overall clinical outcomes were closely comparable, the functional hip score was slightly better in the bipolar group. In our series we had 35% excellent result in the Bipolar whereas we had 15% excellent result in the unipolar Hemiarthroplasty group.
No takes yet. Share an insight, caveat, or question.
Suratwala et al. (2019) conducted a cohort in Displaced intracapsular fracture neck of femur (n=50). Bipolar hemiarthroplasty vs. Unipolar hemiarthroplasty was evaluated on Mean post-operative Harris Hip Score. Bipolar hemiarthroplasty yielded a slightly better functional outcome with a mean post-operative Harris Hip Score of 90.2 compared to 88.2 for unipolar hemiarthroplasty in adults with displaced intracapsular femoral neck fractures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: