Volume : IV, Issue : XII, December - 2014

Management of Intra Capsular Fracture Neck of Femur With Austin Moores Hemiarthroplasty"–A Clinical Study

Dr. G. Kishore Roy, Dr. J. V. Subbaraju

Abstract :

INTRODUCTION:Intracapsular fractures of neck of femur form a major share of fractures in elderly persons. The high rate of as complications including non–union and avascular necrosis of femoral head has led to these fractures being deemed as unsolvable. Hip replacement arthroplasty is emerged as a most viable treatment option and in that hemiarthroplasty with Austin moores prosthesis is among the most commonly employed in elderly age group. The present study presents the short term results of prospective randomized trial of Hemiarthroplasty with AustinMoore’sProsthesis for the treatment of displaced femoral neck fractures in the elderly. Outcome at 6 months and 12 months were analyzed by modified Harris hip scoring system. AIM AND OBJECTIVE:To assess the functional outcome of primary hemi–replacement arthroplasty of hip for displaced femoral neck fracture in the elderly patients by Austin Moore prosthesis. To substantiate the continued usefulness of Austin Mooresprosthesis in modern day orthopaedic practice. MATERIALS AND METHODS: Fifty cases of fracture neck of femur above the age of 6oyears who were treated by hemiarthroplastyusing Austin Moores prosthesis were studied, analysed and the functional outcome was assesed. In all cases Moores southern approach was used for surgical approach. Most of the cases are followed for 12 months and results are assessed using harris hip score. RESULTS: In our studyOf the fifty cases 4 cases died after hemiarthroplasty due to associated medical co morbidities and two patients were lost for follow up. 30 patients (68.18%) out of 44 patients,had excellent results,10patients(22.72%)had good results , 3patients (6.81%) had fair results and one patient had poor results according to HARRIS HIP SCORING SYSTEM. One patient developed periprosthetic fracture, Five patients developed superfcial wound infection which were treated with antibiotics and regular dressings and wounds healed well . CONCLUSION:Hemiarthroplasty by using Austinmoore prosthesis is a good option in elderly patients with displaced fracture neck of femur. The operative procedure is simple, mortality and morbidity associated with it is meagre. The complications are less disabling, weight beå is early, functional results are satisfactory .

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR.G.KISHORE ROY Management of Intra Capsular Fracture Neck of Femur With Austin Moore’s Hemiarthroplasty”—A Clinical Study Indian Journal of Applied Research, Vol.4, Issue : 12 December 2014

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