Surgical and Functional Outcomes of Hemi Arthroplasty in Fracture Neck of Femur

Abstract

Fracture neck of femur is a common injury in the elderly population. Traditionally the end results of hemiarthroplasty were based on morbidity/mortality rates and operative complications. The modern approach following orthopedic surgery has shifted towards patient satisfaction and the quality of life. To this purpose, evaluate the functional outcome of hemiarthroplasty in fracture neck of femur in addition to surgical responses in elderly patients. METHODS: This prospective study included 100 cases with fracture neck of femur between 60-75y of age in whom hemi-arthroplasty was performed. The patients were reevaluated at six week and at six month postoperatively and assessed using Harris Hip Score (HHS) and Visual analogue scale (VAS) for evaluation of outcome. RESULTS: The mean age of patients was 68.6±4.42 yrs and male: female ratio was-54(54%): 46(46%). The mean HHS score was 72.44±6.70 by the end of six months. The mean pain score on VAS Scale was reduced to 2.1±0.6 at six months follow-up visit. No significant complication except for pulmonary complications was seen in postoperative period but they all resolved with proper medical care by six week follow up. No patient required revision surgery. CONCLUSION: We observed a significant change in HHS and VAS at the end of six months. Harris Hip Score (HHS) provides information on a multitude of factors, about the level of activities a patient can resume postoperatively. Fair to good scores were observed in many of the patients. Hemiarthroplasty for fracture neck of femur in elderly does provide early ambulation, good functional outcome, pain free joint with minimal complications without the need for revision surgery.

Efficacy of bipolar hemiarthroplasty in the elderly people: a study in a tertiary care centre

“…In the study by Raghavendra et al, 50% achieved excellent result while 30% had a good result, which was comparable to our study. 22 Similar results with most patients showing excellent or good outcomes was observed in another study by Harsha Kumar et al 27 10 (12.9%) of the patients had complications, with the most common being limb shortening and dislocation of prosthesis. However, in a study by Ramkumar et al, no dislocation or infection was observed, 23.3% of the patients had excellent results and 56.7 had good results.…”

Austin moore vs bipolar prosthesis in management of intracapsular fracture of neck of femur by hemiarthroplasty

“…All these observations indicate good functional outcome in majority of patients after hemiarthroplasty similar to observed in studies like study by Daniel, M et al [19], in which early functional outcome and complications of Austin Moore endoprosthesis in elderly patients above 60 years with fractured neck of femur was analyzed it was concluded that functional outcome of Austin Moore in elderly patients above 60 years with author: neck of femur was satisfactory in most of the cases with minimal morbidity. In a study by Kumar, KH et al [20], where the functional outcome of hemiarthroplasty in fracture neck of femur in addition to surgical responses in elderly patients was evaluated it was concluded that hemiarthroplasty for fractured neck of femur in elderly does provide early ambulation, good functional outcome, pain free joint with minimal complications without the need for revision surgery.…”