Outcome Analysis of Uncemented Primary Total Hip Replacement done for Fracture Neck of Femur through Direct Lateral Approach in Government Vellore Medical College & Hospital in the time period of Jan 2014 to July 2016

Dr. V. P. Mohan Gandhi; Dr. R. Samuel Gnanam; Dr. S. K. Saravanan

Volume : V, Issue : X, October - 2016

Outcome Analysis of Uncemented Primary Total Hip Replacement done for Fracture Neck of Femur through Direct Lateral Approach in Government Vellore Medical College & Hospital in the time period of Jan 2014 to July 2016

Dr. V. P. Mohan Gandhi, Dr. R. Samuel Gnanam, Dr. S. K. Saravanan

Abstract :

Background: Uncemented primary total hip replacement is an ideal choice for fracture neck of femur in patients of age 65 to 80 years meeting certain mobility, cognitive and health criteria. Though each approach has its own pros and cons, the search for best approach to do total hip replacement is still going on, in terms of limited complications and good functional outcome. Aim: To analyze the functional outcome of uncemented primary total hip replacement done for fracture neck of femur through direct lateral approach. Materials & Methods: Patients with displaced intra-capsular fracture neck of femur admitted in govt. vellore medical college in the time period Jan 2014 to July 2016 were selected and treated with primary uncemented total hip replacement through direct lateral approach. The postoperative outcomes were measured in terms of functional scoring and complications. Results: Of the total 25 patients operated, 14 had good to excellent Harris� functional score, 3 patients had abductor insufficiency and 1 patient had trochanteric fracture. No patients had post-operative dislocation, nerve injury, chronic hip pain and limb length discrepancy. Conclusion: We conclude that primary uncemented total hip replacement remains an ideal choice for selected displaced intra-capsular fracture neck of femur fractures and direct lateral approach is a technically easy one with fewer complications yielding very good functional outcome.