Management of fracture neck of femur in elderly by hemiarthroplasty: A study (original) (raw)
Related papers
Early result of hemiarthroplasty in elderly patients with fracture neck of femur
Nigerian medical journal : journal of the Nigeria Medical Association
Fractured neck of femur is a frequent and severe injury in elderly patients with consequent high morbidity and mortality. Hemiarthroplasty is an established treatment modality for displaced intracapsular femoral neck fractures in elderly patients above 60 years. This study analysed the early functional outcome and complications of Austin Moore endoprosthesis in elderly patients above 60 years with fractured neck of femur. Retrospective data were obtained over a 5 year period from January 2007 to December 2012. Thirty-five elderly patients of 60 years and above with displaced intracapsular fracture neck of femur treated with hemiarthroplasty using Austin Moore endoprosthesis were included. Data were analysed using SPSS version 21. A total of 35 patients were involved. The age-range was 60-90 years with mean age of 69.7 ± 7 years. The predominant mechanism of injury was trivial falls in 18 (66.7%) patients. The commonest complication was pressure sore in 2 (5.7%) patients, followed by...
Management of fracture neck femur treated with bipolar hemiarthroplasty in the elderly population
International Journal of Orthopaedics Sciences, 2017
Background: Hip fractures are common and comprise about 20% of the operative workload of an orthopedic trauma unit. As life expectancy is increasing all over the world Geriatric population sustaining the Fracture neck of femur are also increasing resulting in Great burden to health of society which can be better managed with Hemiarthroplasty. The goal of the current study is to assess the functional outcome and quality of life in terms of pain, mobility, stability using Harris Hip Score Aims and objective of the study: To study the results of bipolar prosthesis with respect to pain, mobility and stability and to analyze the complications per-operative and post operative like infection, DVT, acetabular erosion, loosening and dislocation. Materials and methods: The prospective study included thirty patients with intracapsular femoral neck fractures referred to the Department of Orthopaedics, Ashwini Hospital, Gulbarga were selected for this study. Patients with intracapsular femoral neck fractures and aged above 55 years were considered. Discussion: We have excellent results in 10 cases (33.33%), good in 11cases (36.67%), fair in 7 cases (22.33%) and poor in two cases (6.67%) according to the Harris hip rating system. We got excellent to good results in 70% of the cases at a mean follow up period of six months. We analysed pain at 6 weeks, 3 months and 6 months follow up according to Visual analogue scale (VAS) in all patients. At 6 months follow up period, 70% patients had no pain (0), 20% had mild pain (1-4), 6.67% moderate pain (5-8) and 3.33% severe pain (>8). Early assisted ambulation was begun on second post operative day in our study, which probably accelerated better functional recovery. At 6 months follow up period, 70% patients were ambulatory without assistance, 23.33% patients were ambulatory with assistance (with cane). Conclusion: We came to a conclusion after treating 30 patients of intracapsular fracture neck of femur, with Bipolar prosthesis, that it has better advantage in terms of stability, mobility, range of motion, and functional outcome as per Harris hip score.
Journal of Evidence Based Medicine and Healthcare, 2016
BACKGROUND Femoral neck fractures are common in postmenopausal elderly females as a result of osteoporosis due to trivial trauma or in the young due to high energy trauma. The goal of the surgeon is to return the patient to his/her prefracture functional status. Femoral neck fracture could be impacted and undisplaced or displaced. Femoral neck fractures are also considered "fractures of necessity", best treated surgically irrespective of displacement. Surgery permits early patient mobilisation and minimises the complications of prolonged recumbence. The bipolar prosthesis has advantage over the unipolar in having two bearings for the movements to occur. This study intends to compare the functional outcome of unipolar Moore's hemi-replacement and fixed bipolar replacement in elderly patients with fracture neck of femur. In this scenario, the null hypothesis would be that there is no significant difference in the results between the patients treated with Moore's prosthesis and those treated with bipolar prosthesis. The aim of the study is to compare the results of unipolar and bipolar hemi-arthroplasty for fracture neck of femur in the elderly patients. MATERIALS AND METHODS 30 elderly postmenopausal women with fracture neck femur were included in the study. They were divided into 2 groups and were operated upon by using unipolar and bipolar implants respectively after thorough investigation. The functional outcome was assessed using the Harris Hip Score (HHS). RESULTS Femoral neck fractures belonged to 53.3% with type III fracture and 46.7 had type IV fractures. Fifteen patients had replacement with Austin Moore prosthesis and fifteen patients with bipolar prosthesis. The average HHS at 6 weeks for unipolar and bipolar groups was 65.2 and 66.0, respectively. The average HHS at 12 months for unipolar and bipolar group was 81.0 and 83.6, respectively. 19 (65.5%) patients had good HHS at the end of one year. Corrected chi-square value is 2.84, df 2 and p value is 0.241, which is >0.05 showing no significance. CONCLUSIONS There was no difference in functional outcomes in different age groups in both unipolar and bipolar groups. Females were involved overall more commonly than males, but there was no significant difference in final functional outcome in two groups. No advantage was found for the bipolar prosthesis over the unipolar prosthesis. No difference in functional outcome, return to pre-injury status, patient satisfaction or hip score in both groups.
Fractures of the femoral neck treated with hemiarthroplasty. A comparative study
Folia medica
Hemiarthroplasty is the treatment of choice in the management of displaced intracapsular fractures of the proximal femur in old patients with low functional demands. To assess the effectiveness of cementless Austin-Moore and the cemented Thompson prostheses used in the treatment of displaced intracapsular fractures of the proximal femur. We studied retrospectively 376 patients with fresh, displaced, nonpathological femur neck fractures. They were treated with either a cementless Austin-Moore prosthesis or a cemented Thompson prosthesis. Criteria for the choice of the prosthesis were the fracture site on the neck of the femur and the bone quality. The follow-up period was 3 to 8 years and the number of reviewed patients was 122. The Thompson prosthesis group showed slightly better results. Acetabular erosion rate was significantly lower in the uncemented group while loosening rate here was significantly higher. Advantages and disadvantages were identified in both groups although we b...
International Journal of Orthopaedics Sciences, 2020
Femoral neck fractures, one of the most common injuries constitute 50% of hip fractures. The incidence of these fractures has increased with improvement in life expectancy and is expected to double in the next 20 years and triple by 20501. Fracture neck of femur occurs predominantly in the elderly; typically result from low energy falls and in young individuals due to high energy mechanisms. In elderly population these fractures are more common in females when compared to males especially in age group of 60 and above. The goal of treatment of femoral neck fractures is restoration of pre-fracture function without associated morbidities. Hemiarthroplasty is the most common treatment for displaced fractures of femoral neck in elderly and is associated with better functional outcome and fewer reoperations than internal fixation.
International journal of scientific research, 2021
Introduction: Proximal femoral fractures are one of the most devastating injuries occurring in an individual at old age. The objective of the study was to assess the age and sex incidence of fracture neck of femur, morbidity and mortality associated with the procedure, quality of life after hemiarthroplasty and associated complications. Fracture neck of femur has been recognized since the time of Hippocrates and commonly affect the frail and elderly population with devastating consequences for the individuals and places high demands over the health care system and society in general. The life time risk of sustaining a hip fracture is 9% for a female of the age of 50, but this rises to 12% by the age of 70 and 18% by the age of 90 years. The gures for the men are 2% 4% and 8% respectively. 50 cases of fracture neck of femurin elderly patients above the age Methodology: of 55 years treated by hemiarthroplasty using Bipolar endoprosthesis, in the
Management of Intracapsular Fracture Neck of Femur with Hemiarthroplasty Using Bipolar Prosthesis
Introduction: The lifetime risk of sustaining a neck of femur fracture is 9% for a female if age is 50 years but rises to 18% by the age 80 years.The figures for men are 3% and 10 % respectively. As the life expectancy increases mean age of society shifts towards the senior category, the incidence of hip fractures will continue to rise. The incidence of fracture neck of femur occurs in two different patient populations.
Evaluation of results in intracapsular fracture neck of femur with Austin Moore's prosthesis
IP innovative publication pvt. ltd, 2019
Introduction: Fracture neck of femur remains an unsolved fracture to the orthopaedic surgeon as far as treatment and results are concerned. Present study is designed to assess the results of primary hemireplacement arthroplasty of hip for displaced femoral neck fracture in the elderly patients by Austin Moore prosthesis. To reduce the hospital stay and provide better functional results like early easy mobilization and weight bearing and to reduce the incidence of Fracture Disease. To assess the complications of primary hemireplacement arthroplasty by Austin Moore prosthesis. Materials and Methods: In this study, primary hemireplacement arthroplasty of the hip was done in 30 patients with fracture neck of femur using Austin Moore prosthesis who were admitted in the Department of Orthopaedics in Konaseema institute of medical science amalapuram, from August 2014 to August 2016. Intra capsular fracture neck of femur in patients of age 60 years and above, Non-united fracture neck of femur, all types of fracture under Gardens classification are considered. Result: In 43% (13) patients fracture was in right side and 57% (17) patients fracture was in left side. Garden type-4 fracture was present in 14(46.7%) patients, Garden type-3 fracture was present in 12(40%) patients. 13.3% (4) patients were having Garden type 2 fracture. Average blood loss during the procedure was less than 500ml in 20pts, between 500-700ml in eight patients, and more than 750ml in 2 patients. The final Harris hip score was excellent in 46.7% of the patients, good in 8(26.7%) patients, fair in 6(20%) patients and poor in 2 (6%) patients. Discussion and Conclusion: We conclude that hemiarthroplasty for fracture neck of femur is a good option in elderly patients. The mortality and morbidity are not high, operative procedure is simple, complications are less disabling. Early functional results are satisfactory.
Journal of Evidence Based Medicine and Healthcare, 2015
To study the age and sex incidence, morbidity and mortality and the associated complications of fracture neck of femur treated by hemiarthroplasty. To evaluate the efficiency and functional outcome between Austinmoore and Bipolar hip prosthesis in intracapsular fracture neck of femur. RESULTS: In the present study 50 cases of fracture neck of femur treated by hemiarthroplasty using either unipolar (AMP) or bipolar endoprosthesis in the Department of Orthopaedics, Kurnool medical college, Kurnool were included. The average age of patients in our series was ranging from 57 years to 78 years, female patients are 29 (58%) and male patients are 21(42%), left side predominantly involved, trivial fall accounts for majority of fractures. Subcapital fractures (74%) were commonest. In all cases Moore's posterior approach was used. Majority (86%) of the patients had good range of movements. The functional outcome is assessed by using Harris hip score.88% of the hips were classified as having a satisfactory to excellent result and 12% of the patients had a poor result. In our series bipolar prosthesis has slight advantage over Austin moore in case of functional results. CONCLUSION: Hemiarthroplasty by using either unipolar or bipolar 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 less. The complications are less disabling, weight bearing is early, early functional results are satisfactory and second operation is less frequently required.