The BHU bicentric bipolar prosthesis in fracture neck femur in active elderly.

Anil K Rai, Rakesh Agarwal, Saurabh Singh, Ratnav Ratan
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Abstract

Background: 55 BHU bicentric bipolar hemiarthroplasties were reviewed after a mean follow up of 4 years (range 1-5 years). Patients with displaced subcapital fractures were selected for operation on the basis of good mobility before the fracture. Object of the study was to see the efficacy of BHU bipolar prostheses and functional outcome.

Results: There were no incidences of dislocation. Modified Harris hip scoring system scoring system was used which included sitting crosslegged and squatting in view of the sociocultural needs of the patients of Indian subcontinent. Modified Harris hip scoring system 89% had a good or excellent result and 94% had no or only occasional pain. Majority of the patients returned to their prefracture activity.

Conclusion: Thus at follow up of 4 year the BHU bicentric bipolar prosthesis has been shown to be a good option for intracapsular fractures of neck femur with encouraging results.

Abstract Image

Abstract Image

Abstract Image

BHU 双中心双极假体在活动期老年人股骨颈骨折中的应用。
背景:经过平均 4 年(1-5 年不等)的随访,我们对 55 例 BHU 双中心双极半关节置换术进行了回顾。选择移位性颅骨下骨折患者进行手术的依据是患者在骨折前具有良好的活动能力。研究目的是观察BHU双极假体的疗效和功能结果:无脱位发生。考虑到印度次大陆患者的社会文化需求,采用了包括盘腿坐和下蹲在内的改良哈里斯髋关节评分系统。改良哈里斯髋关节评分系统89%的患者效果良好或极佳,94%的患者无疼痛或仅有偶尔疼痛。大多数患者恢复了骨折前的活动:因此,在4年的随访中,BHU双中心双极假体被证明是治疗股骨颈囊内骨折的良好选择,效果令人鼓舞。
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