Psychological Outcomes Following Bipolar Hemiarthroplasty for Displaced Intracapsular Fracture Neck of Femur in Elderly Patients: A Review of Rehabilitation, Quality of Life, and Functional Recovery

Abstract

Displaced intracapsular fracture of the femoral neck is a common orthopedic injury in the elderly and is associated with substantial physical disability, psychological morbidity, and reduced quality of life. Bipolar hemiarthroplasty is widely used for the surgical management of displaced femoral neck fractures because it facilitates early mobilization, pain relief, and restoration of functional independence. However, psychological recovery following surgery has received comparatively less attention than physical rehabilitation. Elderly patients frequently develop depression, anxiety, fear of falling, social isolation, and loss of confidence after hip fracture, and these psychological factors significantly influence rehabilitation outcomes and long-term functional recovery. This review examines the relationship between bipolar hemiarthroplasty, postoperative rehabilitation, psychological well-being, and quality of life in elderly patients. Current evidence indicates that successful restoration of mobility, reduction of pain, early weight-bearing, and recovery of activities of daily living are associated with improvements in emotional health, social participation, and life satisfaction. Psychological assessment and multidisciplinary rehabilitation should therefore be integrated into postoperative care to optimize overall recovery and promote long-term independence.