HEMIREPLACEMENT ARTHROPLASTY FOR FRACTURE NECK FEMUR IN PATIENTS AGED MORE THAN 60 YEARS (40 CASES)

Parmar HP; Chavali VH; Daveshwar RN

Volume : V, Issue : IX, September - 2016

HEMIREPLACEMENT ARTHROPLASTY FOR FRACTURE NECK FEMUR IN PATIENTS AGED MORE THAN 60 YEARS (40 CASES)

Parmar Hp, Chavali Vh, Daveshwar Rn

Abstract :

Aim: To evaluate the results of Hemireplacement Arthroplasty in the management of fracture neck femur in patients aged more than sixty years. Methodology: Forty five patients with age >60 years and with fracture type 31B (A.O.) were followed up for a period ranging from 12–31 months. Dorr classification was used to make the choice between the use of Austin Moore and Bipolar prosthesis. At final follow up patients (n=40) were assessed according to the Harris Hip Score. Results: Austin Moore prosthesis was used in 26 and Bipolar was used in 19 patients. The Harris Hip Scoring revealed 30(75%) excellent, 7(17.5%) good, 2(5%) fair, 1(2.5%) poor results. Statistical analysis showed no significant difference in the outcome between the two types of prosthesis. No radiological complications were noted during follow up of all cases. Conclusion: Austin Moore Hemireplacement arthroplasty of hip for femoral neck fractures is a good option in elderly patients. The mortality and morbidity are not high, operative procedure is simple, cost–effective, complications are less disabling, weight be� is early and functional results are satisfactory.