ABSTRACT
Background: Displaced femoral neck fractures are common in the elderly and often result in significant morbidity and loss of independence. Cemented modular bipolar hemiarthroplasty has emerged as a preferred surgical option, offering improved pain relief, early mobilization, and functional recovery. Evaluating its functional outcomes is crucial to guide evidence-based orthopedic management in geriatric populations.
Objective: To evaluate the functional outcome of cemented bipolar hemiarthroplasty in elderly patients with displaced femoral neck fractures using the Harris Hip Score (HHS).
Methods: It was a descriptive case series study that was carried out at Orthopedics Unit-1, Services Hospital Lahore, within a 6-month span. A sample of 68 patients with femoral neck fractures of Garden type 3 or 4 and having ASA I or II were taken through non-probability consecutive sampling of patients aged 60 years and older. Patients having pathological or conservatively treated fractures, systemic or psychiatric illnesses were ruled out. Each of them was subjected to cemented bipolar hemiarthroplasty by one consultant. Procedural hip function was identified by the 3-month Harris Hip Score. SPSS 26 was used to analyze the data analyzed, and comparison of subgroups was done using independent t-tests; p value of ≤ 0.05 was taken as significant.
Results:  The mean age was 68 ± 5.86 years and the percentage of males was 73.5%. 72.1% of the patients had Garden type 3 fractures and the majority, 76.5%, were obese. The 3 months mean HHS was 68.72 ± 5.80 and showed moderate hip functioning. When HHS was stratified by the age, gender, BMI, fracture side, Garden type, or ASA status there were no statistically significant differences found ( p > 0.05 in all). Conclusion: In older patients cemented bipolar hemiarthroplasty gives similar functional results regardless of demographic or clinical subgroup, as assessed after 3 months HHS
Keywords: ASA score, Elderly patients, Garden classification, Hemiarthroplasty, Hip fracture, Obesity, Outcomes, Postoperative recovery.