SURGICAL AND FUNCTIONAL OUTCOMES OF HEMI ARTHROPLASTY IN FRACTURE NECK OF FEMUR
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 7
Abstract
INTRODUCTION: 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.
Authors and Affiliations
Koramutla Harsha Kumar, Jenne Paranjyothi
Keywords
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- EP ID EP224206
- DOI 10.18410/jebmh/2015/122
- Views 89
- Downloads 0
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