Functional Outcome And Quality Of Life After Bipolar Hemiarthroplasty In Patients Presenting With Neck Of Femur Fracture At Tertiary Care Hospital, Karachi

Abstract

Objective: To evaluate the functional outcomes and quality of life subsequent to bipolar hemiarthroplasty in individuals diagnosed with neck of femur fractures at a Tertiary Care Hospital located in Karachi. Methodology: This cross-sectional investigation was carried out within the Orthopedics Department at Civil Hospital, Karachi. The sample of 145 individuals (ranging in age from 45 to 80 years) diagnosed with Garden grade ≥1 femoral neck fractures and possessing an ASA classification of ≤2, who presented for medical evaluation within a 24-hour timeframe. After excluding patients with significant comorbidities, all participants underwent a bipolar hemiarthroplasty procedure. The evaluation of functional outcomes and quality of life was performed at a 12-week interval employing the Harris Hip Score and the SF-36, with the resultant data undergoing statistical analysis through the utilization of SPSS version 26 and the chi-square test (p ≤ 0.05). Results: In a cohort of 145 patients the mean age of the participants was noted as 64.28 ± 11.66 years among them 36.6 were male while 63.4% female, bipolar hemiarthroplasty showed promising clinical results. At 12 weeks follow-up, 86.9% of participants achieved excellent or good Harris Hip Scores. Conclusion: Bipolar hemiarthroplasty has been shown to yield advantageous short-term functional outcomes and improvements in quality of life for patients afflicted with femoral neck fractures. A majority of individuals attained excellent to commendable hip functionality, accompanied by elevated scores in pain alleviation and social well-being as assessed by the SF-36. These results substantiate the utilization of bipolar hemiarthroplasty as a viable therapeutic intervention for the restoration of mobility and the enhancement of quality of life in suitably selected patients.

Keywords: Quality of Life, Hemiarthroplasty, Femur Fractures, Harris Hip Score, SF-36