945 Tuteja SV et al., Int J Med Res Health Sci. 2014; 3(4): 945-953 International Journal of Medical Research & Health Sciences www.ijmrhs.com Volume 3 Issue 4 Coden: IJMRHS Copyright @2014 ISSN: 2319-5886 Received: 28 th July 2014 Revised: 30 th Aug 2014 Accepted: 15 th Sep 2014 Research article FUNCTIONAL OUTCOME WITH BIPOLAR HEMIARTHROPLASTY AS AGAINST TOTAL HIP ARTHROPLASTY IN INTRACAPSULAR FRACTURE NECK FEMUR *Tuteja Sanesh V 1 , Mansukhani Sameer A 2 , Mukhi Shyamlal R 3 1 Senior Resident, Department of Orthopaedics, Dr. DY Patil Medical College and Hospital, Nerul, Navi Mumbai 2 Assistant Professor, Department of Orthopaedics, Dr. DY Patil Medical College and Hospital, Nerul, Navi Mumbai 3 Professor, Department of Orthopaedics, K. J Somaiya Medical College and Hospital, Sion, Mumbai *Corresponding author email: stuteja@hotmail.com ABSTRACT Rationale: Internal fixation is considered a reliable method for an undisplaced intracapsular fracture and also for displaced intracapsular fractures in young patients. A unipolar or bipolar hemiarthroplasty is preferred for these fractures in elderly patients with low functional demands. However, controversy exists regarding the choice of prosthesis in patients with displaced intracapsular femoral neck fractures in relatively young and active adults. Design: 45 patients with displaced intracapsular femur neck were randomized to undergo a Total hip arthroplasty or a Bipolar hemiarthroplasty. The outcome was assessed with the use of the Harris hip score and the Mobility score of Parker and Palmer. Results: The mean age of the patients was 63.54 years. The mean blood loss was higher in Group 2 (THA) [545.24 ±134. 07 ml] as against Group 1 (BH) [443.75± 88.84 ml] (p= 0.004). The mean duration of surgery in Group 2 [121.90 ±20. 40 mins] was significantly higher as compared to that in Group 1 (BH) [87.50 ±10. 52 mins]. No significant difference was observed in the mean postoperative Mobility Score at the end of 6 months amongst the 2 groups. The Harris Hip Score at the end of 6 months was Excellent for 9 patients, Good for 27 patients, Fair for 6 patients and Poor for 2 patients. 40 patients were able to do their daily activities and 4 were unable to do so owing to their general medical condition. Conclusion: Total Hip Arthroplasty offers better functional outcome in early follow-up and can be used for treating for these fractures in this age group. Key words: Bipolar Hemiarthroplasty, Total Hip Arthroplasty, Fracture Neck Femur, Proximal Femoral Fracture. INTRODUCTION Proximal femoral fractures are common orthopaedic injuries in older patients; typically occurring in the neck, the intertrochanteric and sub trochanteric regions. They impair mobility, cause excessive morbidity, mortality, loss of independence and also account for more than two-thirds of all hospital days due to fracture. 1 Displaced, unstable fractures of the femoral neck generally represent an indication for early surgical intervention. The surgical treatment for displaced intracapsular femoral neck fractures in relatively young and active has always been controversial. 2, 3 Established treatment options include internal fixation, hemiarthroplasty, where the head of the femur is replaced with a prosthetic implant or total hip replacement, which essentially includes, replacing the femoral head as well as the acetabulum with a prosthetic implant. DOI: 10.5958/2319-5886.2014.00030.7