Comparison of bipolar hemiarthroplasty and total hip arthroplasty with dual mobility cup in the treatment of old active patients with displaced neck of femur fracture: A retrospective cohort study

Annals of Medicine and Surgery
Shah FahadPervaiz Hashmi

Abstract

The standard treatment of displaced femoral neck fracture is arthroplasty. THA is reportedly superior to BHA in terms of hip pain, function and reoperation rate. On the other hand THA has a higher rate of dislocation. Total hip replacement with dual mobility cup increases the range of motion and reduces the chances of dislocation. The aim of this study is to compare the functional outcome, rate of dislocation, complications and mortality between BHA and THA with dual mobility cuff for the treatment of displaced neck of femur fracture. This is a non-commercialized retrospective cohort study conducted at our tertiary care level 1 trauma centre. Patients of age group 60 years and above who underwent hip arthroplasty (BHA or THA with dual mobility implant) between 2015 and 2017 for displaced neck of femur fracture with a complete follow up for one year were included. Both groups were assessed for postoperative surgical complications including dislocation, fracture, surgical site infection, and medical complications, one-year mortality and functional outcome were analysed via Harris Hip Score (HHS) at the latest follow up. Overall 104 patients were included in the study out of which 77 patients underwent BHA while 27 underwent THA w...Continue Reading

References

Sep 21, 2011·International Orthopaedics·Arun KannanRajesh Malhotra
Oct 18, 2012·International Orthopaedics·Aron GrazioliHannes Andreas Rüdiger
Jan 7, 2016·The Bone & Joint Journal·L Matsen Ko, W J Hozack
Sep 12, 2017·International Journal of Surgery·Riaz Ahmed AghaUNKNOWN STROCSS Group

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Citations

Sep 15, 2020·The Bone & Joint Journal·Yong-Han ChaKyung-Hoi Koo
Nov 3, 2020·The Bone & Joint Journal·Yong-Han ChaKyung-Hoi Koo
Mar 20, 2021·The Journal of Arthroplasty·Elizabeth B GausdenMatthew P Abdel

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Methods Mentioned

BETA
total hip arthroplasty

Clinical Trials Mentioned

NCT03875014

Software Mentioned

STROCSS

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