Bipolar hemiarthroplasty of the hip is a routinely done procedure in the elderly with neck of femur fractures. An uncommon yet widely recognized complication is the dislocation of hemiarthroplasty. Uncoupling of the femoral head from the stem implant can complicate such dislocations. Such uncoupling requires open reduction. Here, we present a case where the patient sustained a hip dislocation and uncoupling following a bipolar hemiarthroplasty.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529025 | PMC |
http://dx.doi.org/10.7759/cureus.28716 | DOI Listing |
Rev Bras Ortop (Sao Paulo)
February 2025
Departamento de Cirurgia Ortopédica, Geisinger Medical Center, Danville, PA, Estados Unidos.
Femoral neck fractures in multiple myeloma patients are usually managed with hemiarthroplasty or total hip arthroplasty, depending on the presence of acetabular infiltration. Due to the paucity of dedicated studies, the aim of the present study is to review the clinical outcomes of hip hemiarthroplasty in patients with multiple myeloma and to review the literature regarding the outcomes and survival in these patients' subset. There were 15 patients (16 cases), with a mean age of 71.
View Article and Find Full Text PDFCureus
November 2024
Trauma and Orthopedic Surgery, Services Hospital Lahore, Lahore, PAK.
Objective To determine the outcomes of cemented modular bipolar hemiarthroplasty for displaced femoral neck fractures in the elderly. Methodology This prospective study involved 102 elderly patients with clinically and radiologically confirmed displaced femoral neck fractures and was conducted in the Department of Trauma and Orthopedic Surgery, Unit-1, Services Hospital, Lahore. Cemented bipolar hemiarthroplasty was performed on all patients.
View Article and Find Full Text PDFCureus
December 2024
Trauma and Orthopaedics, William Harvey Hospital, Ashford, GBR.
Background: Femoral neck fractures in elderly individuals cause significant morbidity, and their management is particularly challenging in rural areas where healthcare access is limited. The recommended treatment for displaced femoral neck fractures in elderly patients with poor mobility, cognitive dysfunction and multiple comorbidities is a hemiarthroplasty, which can be performed with various implants, including monopolar implants like Austin Moore prosthesis (AMP) and bipolar prosthesis (BP). In developing countries like India, rural areas often have constraints with healthcare resources.
View Article and Find Full Text PDFBipolar hemiarthroplasty (BHA) for osteoporotic femoral neck fractures has a risk of proximal femoral fracture during trials, especially with larger trial bipolar shells. This study introduces a novel technique for BHA via the direct anterior approach, aiming to reduce trial use and lower the risk of iatrogenic femoral fractures. The "no trial reduction technique" involves positioning only the trial neck segment against the acetabulum's medial wall, without the bipolar shell and trial head.
View Article and Find Full Text PDFInjury
October 2024
University Hospital La Princesa, c/ Diego de León 62 28006 Madrid, Spain.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!