Outcome of bipolar hemiarthroplasty following displaced femoral neck fractures: A multicenter study
Anthony A. Olasinde, Oluwatoyin Adetan, Mustapha I. Usman, Gbenga E. Jones, Jerry K. BankoleObjectives:
The article aimed to examine the outcome of bipolar hemiarthroplasty (BHA) in the treatment of displaced femoral neck fractures in Nigeria.
Methods:
A retrospective study of all cases of BHA performed for displaced femoral neck fracture in three tertiary health hospitals from January 01 st , 2010, to December 31 st , 2024. The inclusion criteria are patients with femoral neck fractures aged 60 or older, who underwent BHA and have a minimum follow-up of 2 years. The outcome variables were surgical site infection (SSI), length of hospital stay (LHS), and functional outcome, assessed using the Harris Hip score (HHS) for pain, and the patients’ ambulatory status at the consultant outpatient clinic attendance.
Results:
A total of 73 patients met the inclusion criteria. The mean age was 75 years with a male-to-female ratio of 1:1.03. The majority of patients were aged 70–79 years. Domestic fall was the predominant cause of injury in 71.2% (52 patients), with female preponderance. SSI occurred in 19.2% (14 patients). The HHSs for pain were good to excellent in 63% (46 patients) of the patients, and the ambulatory status of the patient at last attendance showed that 24.7% (18 patients) and 39.7% (29 patients) were walking without the use of a walking stick as an assistive device, respectively. There was a statistically significant difference between age group and ambulatory status ( p = 0.001) and between LHS and SSI ( p = 0.001).
Conclusion:
BHA is a viable option for the treatment of displaced femoral neck fractures in a low-resource environment.