The effects of the choice of the femoral head in hip hemiarthroplasty on radiological and clinical outcomes

Year 2022, Volume: 3 Issue: 1, 31 - 35, 31.01.2022

Mustafa Yerli , Ali Yüce , Tahsin Olgun Bayraktar , Niyazi İğde , Bulent Karslıoglu , Nazım Erkurt , Mustafa Buğra Ayaz , Süleyman Semih Dedeoğlu , Yunus İmren , Hakan Gürbüz

Abstract

Background: A displaced femoral neck fracture in patients over 70 years of age is a severe injury that affects the patient’s quality of life. It is associated with increased morbidity and increased risk of mortality.

Methods: The cases were divided into a monopolar group (n=167) and a bipolar group (n=175). Data on age, gender, ASA scores, length of stay, and other diseases were obtained from the patients’ files. Dislocation, infection and periprosthetic fracture rates were examined by examining the outpatient records of the patients in the postoperative period.

Results: The mean age of all patients included in the study was 79.7±8.16 years. 62.3% (n=213) of the patients were female and 37.7% (n=129) were male. There was no significant difference between the patients in the monopolar group and the bipolar group regarding complications (p=0.743). The 30-day mortality rates of the patients in the monopolar group were significantly higher than those in the bipolar group (p=0.041).

Conclusions: The use of the bipolar head in the surgical treatment of geriatric displaced femoral neck fractures with hemiarthroplasty may not provide any advantage in terms of functionality or complications.

Keywords

Femoral Neck Fracture, Geriatric, Hemiarthroplasty, Monopolar, Bipolar.

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