Abstract

FUNCTIONAL EVALUATION OF HEMIARTHROPLASTY IN NEGLECTED FRACTURE NECK OF FEMUR IN YOUNG ADULTS

Author(s): Pramod Kumar M1 , K. M. Gopinath 2 , Venkatdeep Mohan 3

Femoral neck fractures occur most commonly in elderly females. The incidence of fracture neck femur occurs in two different patient populations. Very small groups (3% to 5%) are young patients subjected to high energy trauma. The reminder occurs in elderly population and approximately 90% of these injuries are the result of simple fall from standing position. OBJECTIVE To assess the functional outcome of uncemented hemiarthroplasty (AMP and Bipolar) in patients under 55 years of age with intracapsular neck of femur fracture. PATIENTS AND METHODS 16 patients under 55 years of age with the mean age of 35.5 years (range 16-55 years) with intracapsular fracture neck of femur operated between September 2010- September 2012 were undertaken for the study. The functional follow-up was done for a minimum period of 6 months. The results were assessed using Harris hip evaluation. RESULTS Out of 16 patients, 10 were female and 6 were male with an average age of 35.5 years. After one year of follow up 5 patients had Excellent, 8 had a good result, 1 had a fair result and 2 had a poor result. In our study all our patient had satisfactory functional result. CONCLUSION Patients who lead mainly a sedentary life with limited daily activities are suitable candidates for hemiarthroplasty.