Perbandingan Luaran Fungsi Klinis Pasien yang Dilakukan Tindakan Operasi Bipolar Hemiarthroplasty Cemented dan Uncemented pada Fraktur Leher Femur dengan Menggunakan Modified Harris Hip Score dan Proporsi Dislokasi Paska Operasi Penggantian Sendi Panggul di Medan

Abstract

Objective This study aims to determine the comparison of clinical function outcomes of patients undergoing Cemented and Uncemented Bipolar Hemiarthroplasty Surgery on Femoral Neck Fractures Using Modified Harris Hip Score and the Proportion of Dislocations after Pelvic Joint Replacement Surgery in Medan. Material and Methods This is an observational analytical research study with a case control design at H. Adam Malik Hospital Medan and several network hospitals in Medan. A total of 32 patients were diagnosed with femoral neck fracture where 16 patients underwent cemented bipolar hemiarthroplasty surgery and 16 patients underwent uncemented bipolar hemiarthroplasty surgery during the period September 2021 to August 2022 in MHHS scores and the proportion of dislocations 1 month postoperatively. Results The research subjects included 12 men and 20 women aged 54-91 years. Bipolar hemiarthroplasty cemented 16 patients and uncemented bipolar hemiarthroplasty 16 patients. With a mean MHHS value for cemented bipolar hemiarthroplasty 79.00±5.40 and uncemented bipolar hemiarthroplasty 78.81±7.43. Conclusion From the results of statistical analysis tests on the comparison of clinical function outcomes of modified Harris hip score from cemented bipolar hemiarthroplasty with uncemented bipolar hemiarthroplasty in femoral neck fractures, there was no significant difference from the MHHS value 1 month after surgery, this was indicated by the p value = 0.935 (> 0.05).