PROSPECTIVE STUDY OF FRACTURE NECK OF FEMUR ABOVE 65 YRS TREATED WITH HEMI ARTHROPLASTY AND CEMENTED BIPOLAR AMP

Dr. P Pratap, Dr. N.V.Siva rama Krishna, Dr. M B Mulimani, Dr. Blvs Prasad, Dr. Ch. Kishore kumar

Abstract


1.To evaluate clinical outcome of patients treated with cemented bipolar
hemiarthroplasty .
2.To evaluate the complications .
MATERIALS AND METHODS:
Source of data :
This is a one and a half year from December 1st 2017 to May 30th 2019 study of patients with fracture neck of femur admitted in Lalitha
hospital , guntur
RESULTS:
In our study, the final Harris Hip Score as evaluated at 2weeks after discharge all patients had poor functional outcome results. After 3 months
follow up patients functional outcome improved with 60 % fair results , 17 % good results and poor results decreased dramatically from 100% at
2 weeks to 23 %at 3 months . At six months after sugery final follow up done and assessed for clinical and radiological outcomes . Hence , among
30 patients averaged 92 with the maximum score being 97 and the minimum score being 87 .Out off 30 patients, 23 patients (77%) achieved
Excellent result, 7 patients (23 %) achieved Good result.
CONCLUSION
Ÿ Female predominance is common in fractures around the hip .Most of the fracture neck of femur were sustained due to trivial injuries like slip
and fall. Femoral canal diameter is wider and in female than males . Proximal femoral trabeculations deteriorate as age progresses .
Garden type 3 fractures were the most common pattern of neck of femur fracture observed which accounted to 60%. Hypotension seen
commonly seen in patients with systemic co-morbidities . Lengthening not more than 2 cm is common complication . The final functional
outcome was excellent in 77 % of the patients. Limitation of the study included a small sample size of 30 patients and a short follow up period
of 6 months.


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References


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