To Study Outcome of Various Surgical Methods in Fracture Neck of Femur in Elderly Patients Over 60 Years of Age
Journal Title: International Journal of Research and Review - Year 2017, Vol 4, Issue 12
Abstract
Background: Femoral neck fractures in the elderly are very frequent and osteoporosis along with age are major predisposing factors, it represents a great health care problem which requires the best and cost effective treatment specially in a country like India where most of people coming to medical college are from poor and low socioeconomic status and farming is one of the major profession. The present study was conducted to compare and review two major modalities of surgical treatment with cancellous screw fixation (3 cancellous 6.5 mm partial threaded screw used in each case) and hemiarthroplasty (only bipolar). Approximately 10 to 20% of patients die within one year of a fracture neck of femur (mostly over 75 years of age) due to lack of proper treatment and ignorance. The purpose of this review is to compare the above mentioned surgical techniques with respect to movement of hip, complications and functional outcome. Methodology: The present study was conducted by department of Orthopaedics, Varun Arjun Medical College, Banthara Shahjahanpur. It was a prospective study among Patients admitted to orthopaedics department. The study was conducted from 1st July 2016 to 30th June, 2017. Total 62patients were selected with criteria as fracture duration should be within 3 weeks of injury, and having viable head of femur.39 patients have undergone cancellous screw fixation. 23 patients have under gone hemiarthroplasty. Results: The age group was in the range of 60 – 86 years, with the mean age of 66.5±6.50 years in cancellous screw fixation group and 77.51±7.49 years in hemiarthroplasty group.41 cases were female and 21 are male but in both the groups the fracture is not more than 3 weeks old with viable head. There was good post-operative range of movement both in Cancellous screw fixation group and the HRA Group as in Indian circumstances squatting is very common which is not possible after HRA so in most cases cancellous screw fixation is preferred by us as and where possible. Excellent to good /fair results were seen in 83% of patient in cancellous group fixation group and 74% of patients in HRA group.
Authors and Affiliations
Neeraj Agarwal
Keywords
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