Early Complications Following Bipolar Hemiarthroplasty as Primary Treatment for Displaced Femoral Neck Fracture in Elderly Patients Razoki Mohammed Hassn1,*, Elkelaby Adnan Essa1 1Department of Orthopedics, College of Medicin, University of Kufa *Corresponding Author: Mohammed Hassn Razoki, Department of Orthopedics, College of Medicin, University of Kufa, Iraq, Email: dr_obaidi1959@yahoo.com
Online published on 19 August, 2019. Abstract Femoral neck fracture is one the most important traumatic event in elderly patients. The objective of this study is to assess the incidence of early complications following bipolar hemiarthroplasty for management of displaced femoral neck fractures in elderly patients. Patients and Method This is a prospective study of 60 patients 60–90 years old (37 female and 23 male) with displaced femoral neck fracture who underwent bipolar hemiathroplasty with a follow up period ranged from 12–22 months. Several variables including age, gender, medical comorbidities, type of fracture, complication mortality and Harris Hip score were assessed. Results There were four cases of infection, two cases of dislocation, eighteen cases anterior thigh pain, two cases of DVT and two mortality. The average HHS decrease with increasing age of the patients. There was no significant intraoperative complications but there was postoperative complicaions. Conclusions Bipolar hemiarthroplasty through posterior approach seems to be a good option for primary treatment of displaced femoral neck fractures in elderly patients with few complications. Top Keywords Hemiarthroplasty, femoral neck fracture, complications. Top |