A Prospective Study Comparing the Functional Outcome of Bipolar Hemiarthroplasty (BHA) Versus Total Hip Replacement (THR) in Elderly Patients with Fracture of the Neck of Femur

Muhammad Haseeb; Muhammad Nadeem Chaudry; Muhammad Asif Rasheed; Asad Alam; Arsalan Riaz; Muhammad Mateen

doi:10.51253/pafmj.v76i5.12651

Authors

Muhammad Haseeb Department of Orthopedics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Nadeem Chaudry Department of Orthopedics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Asif Rasheed Department of Orthopedics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Asad Alam Department of Orthopedics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Arsalan Riaz Department of Orthopedics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Mateen Department of Orthopedics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i5.12651

Keywords:

Bipolar Hemiarthroplasty, Harris Hip Score, Total Hip Replacement

Abstract

Objective: To compare the Functional Outcome of Bipolar Hemiarthroplasty (BHA) Versus Total Hip Replacement (THR) in Elderly Patients with femoral neck Fractures.

Study Design: Prospective comparative study.

Place and Duration of Study: Department of Orthopedics, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2023 to Sep 2024.

Methodology: Fifty patients with displaced femoral neck fractures were included in the study. The patients were treated with either bipolar hip arthroplasty (BHA) or total hip replacement (THR). Functional assessment was carried out using Harris Hip Score (HHS) at two weeks, three months, six months, nine months and one year postoperatively. The scores were compared for both treatments. Data analysis and management were performed using GraphPad Prism version 6.

Results: During follow-up the mean Harris Hip Scores in BHA group were 57, 61.3, 65.1, 68.8 and 72.2 and in THR group the mean HHS were 72.4, 76.6, 80.6, 83.9 and 87 at fourteen days, three months, six months, nine months and one year respectively. Patients undergoing THR had a higher HHS than patients undergoing BHA.

Post op pain and range of motion (ROM) were significantly improved in patients undergoing THA as compared to patients with BHA.

Conclusion: Patients undergoing THR had a higher Harris Hip Score (HHS) than patients undergoing BHA. Thus, THR is a better option as compared to BHA based on our short-term functional outcome assessment using HHS.

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