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Bipolar Hemiarthroplasty for Fracture Neck Femur

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Hip Arthroplasty

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Abstract

One of the most common fractures and the leading cause of morbidity and mortality in the elderly population is femoral neck fractures. Prosthetic replacement is the standard treatment for these ambulatory elderly patients as internal fixation has high failures. Hemiarthroplasty (HA) is associated with many advantages of immediate weight bearing, eliminating chances of osteonecrosis and nonunion, fewer chances of reoperation, and ease of performing surgery in patients with major comorbidities. Total hip arthroplasty (THA) should be reserved for concomitant acetabular damage. Bipolar HA is now more popular among surgeons as a treatment option for fracture neck of femur (FNOF) in the elderly because of the limited life span and low demand of these patients. It is a shorter procedure with a quick rehab that makes these patients upright and walking, thereby eliminating complications such as bed sores, chest, and urinary infections. The decision to do a cemented or uncemented bipolar hemiarthroplasty is usually decided by the quality of bone and patient physiology. Cemented HA has shown better pain relief and mobility in the elderly although there have been reports of cement-associated embolic episodes. Currently, a femoral stem with modular bipolar femoral heads is in use that allows revision to a THA when needed, without revising the femoral stem.

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Authors and Affiliations

  1. Sawai Man Singh Medical College & Attached Hospitals, Jaipur, Rajasthan, India

    Narendra Joshi & Rakesh Kumar Dhukia

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  1. Narendra Joshi
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  2. Rakesh Kumar Dhukia
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Editors and Affiliations

  1. Head of Orthopedics and Joint Replacement, Amrita Institute of Medical Sciences Amrita Vishwavidyapeetham, Faridabad, India

    Mrinal Sharma

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Joshi, N., Dhukia, R.K. (2023). Bipolar Hemiarthroplasty for Fracture Neck Femur. In: Sharma, M. (eds) Hip Arthroplasty. Springer, Singapore. https://doi.org/10.1007/978-981-99-5517-6_8

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  • DOI: https://doi.org/10.1007/978-981-99-5517-6_8

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-5516-9

  • Online ISBN: 978-981-99-5517-6

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