Management of fracture neck of femur in elderly patients with hemireplacement arthroplasty with austin moore prosthesis at tertiary care centre

Ravindra Kumar Saini; Ratan Lal; Amit Kumar; Pradeep Kumar Mundotiya

doi:10.53730/ijhs.v6nS4.9353

Authors

Ravindra Kumar Saini MS (Orthopaedic Surgery), Command Hospital, Lucknow, Uttar Pradesh, India. [Ex Senior Resident, Department of Orthopedic, SMS Medical College, Jaipur, Rajasthan, India.]
Ratan Lal Senior Resident, Department of Orthopedic, SMS Medical College & Attached Hospital, Jaipur, Rajasthan, India
Amit Kumar Junior Resident, Department of Orthopedic, SMS Medical College & Attached Hospital, Jaipur, Rajasthan, India
Pradeep Kumar Mundotiya
pradeepmbbs13@gmail.com
Senior Resident, Department of Orthopedic, SMS Medical College & Attached Hospital, Jaipur, Rajasthan, India

Keywords:

fracture neck femur, hemireplacement, arthroplasty, austin moore implant, functional outcome

Abstract

Background: The incidence of fracture neck of femur in younger patients is very low and is associated mainly with high-energy trauma. The medical cost of these injuries, in the elderly age group, is higher compared to younger age group due to associated co-morbidities leading to an increased in-hospital stay and increased duration of post op care. Therefore, the present study has been taken up to evaluate the outcome of management of elderly geriatric individuals with Austin Moore prosthesis and the role of the prosthesis in present day orthopedic care in country in patients with multiple comorbidities and those who are home ambulant with limited activities at a large Orthopaedic centre. Materials & Methods: This is a descriptive study done on30 cases regarding intra-op complications and functional outcome in the elderly patients who have undergone hemiarthroplasty with Austin Moore prosthesis at Department of Orthopedics, Base Hospital Lucknow from July 2016 to Dec 2017 (18 months). Follow up of patients was done at 6 weeks, 12 weeks, 24 weeks and at one year following surgery and earlier in case of any complication. Functional Outcome was noted in terms of Modified Harris hip score at 6 weeks, 3 months and 6 months.

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