iarjmsIARJMSIARJMS2708-3594https://doi.org/10.47310/iarjms.2022.v03i02.025Classification of Fracture and Degree of Osteoporosis among Elderly Cases of Fracture Neck of Femur and Undergone Bipolar Hip Arthroplasty at Tertiary Care HospitalSidharathSoodMukundLalSachinSudAnkitaThakurBackground: In the current study, degree of osteoporosis and fracture classification were evaluated in senior patients who had bipolar hip arthroplasty at Indira Gandhi Medical College in Shimla. Materials and Methods: At Indira Gandhi Medical College in Shimla's orthopaedic surgery department, the current study was carried out. It comprised instances that were both prospective and retrospective and who underwent modular bipolar hip arthroplasty following hip surgery using the posterolateral method for an unstable femur neck fracture. 35 patients were enrolled in a prospective case starting in May 2016 and 25 traceable operated patients were included in a retrospective study over the previous five years. Results: The mean average age of the patients was 78.5±6.87 years with female predominance of 67% and involving left side in 57% of patients. All the patients who underwent replacement were unstable and Garden Type III and IV. Majority of fractures (78.3%) were while 21.7% patients had Pauwel Type II. Majority of fractures were Subcapital and Transcervical type in 86.7%. All patients except one had osteoporosis as revealed by DEXA scan. About 78% of patients had Type 4 and Type 5 osteoporosis pattern as documented by Singh’s index. Conclusion: Present study concluded that among majority of the elderly cases of fracture neck of femur who undergone bipolar hip arthroplasty were classified as Garden Type III and IV, Pauwel Type III and were Subcapital and Transcervical type. All these cases had osteoporosis on DEXA scan and had Type 4 and Type 5 osteoporosis pattern in Singh’s index.