Comparative Functional Assessment of Proximal Femoral Nail (PFN) and Cemented Bipolar Hemiarthroplasty in Hip Fracture Patients

Dr. Rajat Nagar, Dr. Siddharth Sagar, Dr. Abhinandra Singh, Dr. Mani Bagga

Abstract: Background: Intertrochanteric femoral fractures in elderly patients pose significant clinical challenges due to high morbidity and mortality rates. The optimal surgical approach between proximal femoral nail (PFN) fixation and cemented bipolar hemiarthroplasty remains controversial, particularly regarding functional outcomes and recovery timelines. Objective: This study aimed to compare the functional outcomes of PFN fixation versus cemented bipolar hemiarthroplasty in elderly patients with hip fractures, focusing on early mobilization and Harris Hip Score (HHS) assessments. Methods: A comparative analysis was conducted evaluating functional outcomes between PFN and cemented bipolar hemiarthroplasty procedures in elderly hip fracture patients. Functional assessment was performed using standardized scoring systems with emphasis on early mobilization potential. Results: Early functional outcomes demonstrated superior performance with bipolar hemiarthroplasty compared to PFN fixation. At 1-month follow-up, patients who underwent hemiarthroplasty showed significantly higher HHS (69 vs. 59). Early mobilization rates were notably higher in the hemiarthroplasty group, which correlated with reduced complications associated with prolonged immobility. Conclusions: While bipolar hemiarthroplasty demonstrates superior early functional outcomes and mobilization potential at 1-month follow-up, long-term differences between the two procedures tend to diminish by 6 months. At 6-month follow-up, outcomes showed either equivalence or slight advantage for PFN. The choice between procedures should consider patient-specific factors, with hemiarthroplasty potentially preferred for patients where early mobilization is critical, while PFN may offer advantages in longer-term follow-up scenarios.

Keywords: hip fracture surgery, elderly patients, bipolar hemiarthroplasty, proximal femoral nail, early mobilization

How to Cite?: Dr. Rajat Nagar, Dr. Siddharth Sagar, Dr. Abhinandra Singh, Dr. Mani Bagga, "Comparative Functional Assessment of Proximal Femoral Nail (PFN) and Cemented Bipolar Hemiarthroplasty in Hip Fracture Patients", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 1607-1609, https://www.ijsr.net/getabstract.php?paperid=MR25725160447, DOI: https://dx.doi.org/10.21275/MR25725160447