Primary total hip arthroplasty versus hemiarthroplasty for displaced neck femur fractures in older patients
Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 10
Abstract
Background: Hip fractures in older patients are associated with impaired mobility, excess morbidity and mortality, and loss of independence. Objectives: To determine whether total hip arthroplasty is associated with lower reoperation rates, mortality, and complications, and better function and quality of life than hemiarthroplasty for displaced fractures of the femoral neck in older patients. Materials and methods: We prospectively as well as retrospectively studied 46 patients treated with total hip replacement or hemiarthroplasty. Pain, range of motion, hip function, haris hip score and complications were assessed clinically while hip stability, femoral anteversion, acetabular cup inclination and acetabular erosions were assessed radiographically. Results: In our study according to Harris hip score, group A (hemiarthroplasty group) showed 58.33% excellent to good result whereas 33.34% shows fair to poor result. In group B (total hip replacement group) 90.91% showed excellent to good result and 9.08% showed fair to poor result. In this study, the overall Harris hip score was 76.33 with SD±19.091 in hemiarthroplasty group and 86.45 with SD±6.363 in Total hip replacement group with p-value 0.0224(<0.05). Conclusion: So we concluded in our one year of study that total hip replacement had better functional outcome in fracture neck of femur in elderly treated by either hemiarthroplasty or total hip replacement and total hip replacement is less painful than hemiarthroplasty.
Authors and Affiliations
Nitin Kumar Singh, Himanshu Jain, Sonal Garg, Sachin Yadav
Keywords
Related Articles
- EP ID EP411547
- DOI -
- Views 131
- Downloads 0
A comparative study of prevalence of postnatal depression among subjects with normal and cesarean deliveries
Background: Postpartum depression (PPD) is a type of clinical depression which can affect woman after childbirth. PPD is very common among women and is a major public health problem. It is estimated that overall 10 to 15...
Radiological findings of pulmonary tuberculosis in adolescents in a teaching hospital, Sangareddy
Background: Tuberculosis (TB) accounts for 1.7 million deaths, according to the recent WHO report. India alone accounts for one fifth (21%) of all the TB cases globally. Objectives: Radiologic findings of pulmonary tuber...
Diabetes mellitus alteres the pulmonary function test parameters among the patients attending regular check-up in tertiary care hospital in and around Chennai - Evidence-based study
Introduction: The application of epidemiology to the study of DM has provided valuable information on several aspects of this disease such as its natural history, prevalence, incidence, morbidity, and mortality in divers...
A clinical study of post-operative complications of emergency and elective (open and laparoscopic) appendicectomy
Background: Post-operative complications which follows appendicectomy are not common and it reflect the level of peritonitis that is present during the time of surgery and the diseases which may be predisposed to complic...
Actinomycosis in histopathology - Review of literature
Actinomycosis is a chronic, suppurative granulomatous inflammation caused by Actinomyces israelli which is a gram positive organism that is a normal commensal in humans. Multiple clinical features of actinomycosis have b...