Original Research Article
Year: 2023 | Month: April-June | Volume: 8 | Issue: 2 | Pages: 334-342
DOI: https://doi.org/10.52403/ijshr.20230243
Comparison Between Bipolar Hemiarthroplasty and Total Hip Arthroplasty in Cases of Neck Femur Fracture
Abdulsalam Abdullah Hadi Mohsen
Associate Professor, Orthopedic Unit, Department of Special Surgery, Faculty of Medicine, University of Aden, Yemen
ABSTRACT
Background: Femoral neck fractures pose a significant burden to the healthcare system in developed and developing countries.
Objective: To compare between total hip arthroplasty (THA) and bipolar hemiarthroplasty (BHA) in patients with the neck of femur fracture.
Materials and methods: This was a retrospective review of patients files who underwent total hip arthroplasty and bipolar hemiarthroplasty for femur neck fractures between January 2016 to December 2018. Fisher's exact test was used to detect differences between categorical variables. Significance was accepted at the p<0.05 level.
Results: The females were predominant (57.1%). The group BHA were (52.4%) and the group THA were (47.6%). The mean age of BHA group was 79.4 ± 5.1 years and of THA group was 71.4 ±3.0 years (p=0.000). Comorbidities were found more in the group of BHA, (p > 0.05). Level of activity was high in the group of THA (28.6%), (p = 0.001). Post-operative waking after one day was found among (38.8%) of the group THA, and in the group BHA was in (4.8%) patients, (p = 0.002). Seven (33.4%) of the group THA used the walking aids for 2 months, while the group BHA used the walking aids during the 5 months, (p = 0.008). The operative time of the group THA was 2 hours, and of the group BHA was one hour, (p = 0.000). Deep vein thrombosis, superficial infection and deep infection found only among patients of group BHA (9.6%), (9.6%), and (4.8%) respectively. Dislocation was found in (4.8%) patient of the group THA.
Conclusion: THA and BHA are the preferred treatment options for FNF, as they lead to satisfactory function and performance in the elderly. Further studies with large number of study sample are in need.
Keywords: Neck femur fracture, comparison, bipolar hemiarthroplasty, total hip arthroplasty