A PROSPECTIVE COMPARATIVE STUDY TO EVALUATE THE FUNCTIONAL OUTCOME IN LATERAL AND POSTERIOR APPROACHES IN FRACTURE NECK OF FEMUR TREATED WITH BIPOLAR PROSTHESIS AT TERTIARY CENTRE

Abstract

Objectives: To assess and compare the functional outcome of lateral and posterior approaches in fracture neck of femur treated with bipolar prosthesis at tertiary centre . To compare the intraoperative blood loss, duration of surgery and complications between mentioned group. Materials and methods: A total of 50 patients admitted in Gadag Institute of Medical Sciences under the department of Orthopaedics who have suffered from fracture neck of femur fracture from June 2023 – December 2024 were assigned to the study by systemic random sampling. Patients in both groups were compared for fracture pattern, co-morbidities, intraoperative assessment such as blood loss, duration and post op complications. Functional outcome was assessed using Harris Hip Score at 1 month, 3 month and 6 month and 12 months Results: The mean Harris hip score was similar in both groups, high chances of nerve injury leading to foot drop and dislocation was higher in posterior group. Average duration of surgery lateral approach- 75 mins; posterior- 90 mins Average blood loss in lateral approach- 4.8 mops , posterior approach -5 mops