Alternate Technique for Delivering Femoral Head in Fracture Neck of Femur during Hemi Replacement Arthroplasty & Assessing Accurate Prosthesis Size

Dr. Deepak Chaudhary; Dr Saurabh Bansal; Dr Rajeshwar Kalla

Volume : V, Issue : III, March - 2016

Alternate Technique for Delivering Femoral Head in Fracture Neck of Femur during Hemi Replacement Arthroplasty & Assessing Accurate Prosthesis Size

Dr. Deepak Chaudhary, Dr Saurabh Bansal, Dr Rajeshwar Kalla

Abstract :

Objective: To assess functional outcome & results of delivering femoral head by this technique during Hemi Replacement Arthroplasty in fracture neck of femur & assessing accurate prosthetic size. Design: Prospective clinical study. Methods: Clinically proven one fifty elderly patients of fracture neck of femur going for HRA participating in study included in study according to inclusion and exclusion criteria after getting written and informed consent. Results: One fifty patients participated in study and in all patients femoral head was removed in single piece and accurate size of prosthetic head was measured which helped in implanting accurate prosthesis during HRA and good to excellent results were achieved postoperatively. Conclusions: Hip replacement is a successful procedure for elderly population over 70 years in fracture neck of femur (NOF). It leads to return to premorbid level of activity and independent functions occurs very swiftly , avoiding the hazards of prolonged incumbency. The success of HRA depends mainly on accuracy of prosthetic size. For this we have proposed a technique for removal of femoral head in single piece during HRA without fracturing or comminuting femur head during removal, so that we can have accurate measurement for prosthetic head size. After judging size of prosthesis head we reconfirm it by inserting same size of AM prosthesis in acetabulam, in this manner accurate sized bipolar implant is placed.