Yerukala Ramana1, Kuppa Srinivas2, Dema Rajaiah3, Anilkumar N4, Sujith Omkaram5, S.Venkateswar Reddy6
AIMS AND OBJECTIVES: To study the age and sex incidence, morbidity and mortality and the associated complications of fracture neck of femur treated by hemiarthroplasty. To evaluate the efficiency and functional outcome between Austinmoore and Bipolar hip prosthesis in intracapsular fracture neck of femur.
RESULTS: In the present study 50 cases of fracture neck of femur treated by hemiarthroplasty using either unipolar (AMP) or bipolar endoprosthesis in the Department of Orthopaedics, Kurnool medical college, Kurnool were included. The average age of patients in our series was ranging from 57 years to 78 years, female patients are 29 (58%) and male patients are 21(42%), left side predominantly involved, trivial fall accounts for majority of fractures. Subcapital fractures (74%) were commonest. In all cases Moore’s posterior approach was used. Majority (86%) of the patients had good range of movements. The functional outcome is assessed by using Harris hip score.88% of the hips were classified as having a satisfactory to excellent result and 12% of the patients had a poor result. In our series bipolar prosthesis has slight advantage over Austin moore in case of functional results.
CONCLUSION: Hemiarthroplasty by using either unipolar or bipolar prosthesis is a good option in elderly patients with displaced fracture neck of femur. The operative procedure is simple, mortality and morbidity associated with it is less. The complications are less disabling, weight bearing is early, early functional results are satisfactory and second operation is less frequently required.
