Study of early outcome of Austin Moore’s prosthesis with bone cement in fracture neck femur in elderly
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Femoral neck fractures, one of the most common injuries in the elderly and its prevalence has increased with improvement in life expectancy, increased incidence of osteoporosis, and changes in lifestyle leading to sedentary habits. In last four decades hip arthroplasty is evolved as the best treatment for intracapsular fracture neck of femur in elderly in terms of both short-term and long-term results. However, it is still not popular as a first treatment modality because of complications like dislocations and higher morbidity associated with the procedure and also cost. Objectives: This study was design to gain a deeper understanding of the results and problems associated with this procedure and to evaluate if using bone cement with the Austin Moore’s prosthesis offers any distinct advantages in reducing the complications of thigh pain, stem loosening and peri prosthetic fractures. Results: Out of total 22 majority of patients (90.9%) had transcervical type of fracture. Commonest time of presentation of patients were after 72 hours and average delay in surgery after injury was 12 days. Early postoperative complications like shortening (2), superficial infection (2) deep vein thrombosis (1) was seen. However, no any late postoperative complications like loosening, dislocation, erosion, calcar resorption, protrusio acetabuli or periprosthetic fracture were found. Progressive improvement in Harris Hip Score seen at each follow up visit with average final score at one year was 84.53 with a maximum score of 93 and a minimum score of 65.8. Conclusion: Hemiarthroplasty using cemented Austin Moore prosthesis for fractures of the femoral neck provides freedom from pain, better range of movement and more rapid return to unassisted activity with an acceptable complication rate.
Authors and Affiliations
Dr. Parth Panchal, Dr. Chintan Patel, Dr. Anish Rao
Keywords
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- EP ID EP498053
- DOI 10.22271/ortho.2017.v3.i3d.44
- Views 109
- Downloads 0
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