ANALYSIS OF FUNCTIONAL OUTCOME OF TOTAL HIP ARTHROPLASTY IN FRACTURE NECK OF FEMUR IN ELDERLY PATIENTS IN OUR INSTITUTION

Dr.M. Kannan; Dr.R.Umashankar

Volume : VII, Issue : IV, April - 2018

ANALYSIS OF FUNCTIONAL OUTCOME OF TOTAL HIP ARTHROPLASTY IN FRACTURE NECK OF FEMUR IN ELDERLY PATIENTS IN OUR INSTITUTION

Dr. M. Kannan, Dr. R. Umashankar

Abstract :

Introduction:

Fracture neck of femur is common in elderly patients following trivial fall. Various methods of treatment are available for the fracture, however Arthroplasty gives better functional outcome and allows early mobilization of the patient.

Aim of the study:

To Analysethe functional outcome of Total Hip Arthroplasty in fracture neck of femur in elderly patients in our institution.

Materials and methods:

We studied in series of 25 patients of Garden stage IV fracture neck of femur, who were treated by Total Hip Replacement in our institution, GovtVillupuram Medical College Hospital, Villupuram, from June 2016 To November 2017. Out of 25 hips, 22 were treated with Uncemented Total Hip Replacement and 3 hips undergone Cemented Total Hip Replacement. 13 hips were approached through Hardinge lateral approach and 12 hips approached through posterior approach.

Results:

In our series 21 patients had functional outcome with excellent results and four patients had good to fair results. One patient had dislocation and another patient had foot drop postoperatively as complication in our series.

Conclusion:

In our study results were excellent to good in majority of cases with total hip replacement for displaced fracture neck of femur in elderly active ambulatory patient. Total hip replacement provides early ambulation, less pain, less revision rate.