Shehzad Ahmad, Ashfaq Ahmed, Jamil Ahmed, Rizwan Akram, Shahzad Javed, Naeem Ahmed, Amer Aziz.
Outcome of Bipolar Hemi Arthoroplasty: Analysis of Using Lateral and Posteriolateral Approach.
J Surg Pak Jan ;22(1):16-9.

Objective: To find the outcome of bipolar hemiarthroplasty using posteriolateral and lateral approaches. Study design: Descriptive case series. Place & Duration of study: Departments of Orthopaedics and Spine Centre, Ghurki Trust Teaching Hospital Lahore, from January 2015 to December 2016. Methodology: Patients of either sex and of age above 40 year, who presented in Emergency Department with femoral neck fractures, were included in the study. Data included basic demorgraphic profile, Harris hip scoring, duration of surgery, hospital stay and blood loss. Results: A total of 200 patients were included in the study. There were 77 (38.5%) males and 133 (61.5%) females. Male to female ratio was 0.58:1 with mean age of 58.2 ± 6.02 year. Mean follow up was 14.2 ± 2.5 months. In 134 (67.0%) patients there was history of fall, 41 (20.5%) presented with fracture after low energy vehicle accident, 20 (10.0%) presented after high energy vehicle accident. Duration of surgery and blood loss were less in posteriolateral approach. The complication rate and Harris hip scoring was similar in both the approaches. Conclusions: Outcome of surgery in terms of infection, mobility and pain as well as dislocations were similar in both the approaches. The posterior approach was superior in terms of short duration of surgery and less blood loss.

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