FEMORAL NECK FRACTURE

Abstract

Femoral neck fracture is common in the elderly, with only 2-3% found in patient younger than 50 years. Osteoprosis & co-mordities increase the incidence of their fractures. Non-Operative treatment is indicated only is unfit or non-ambulatory patients age, general health status and Socio economic condition of patients along with availability of facilities are important to select the treatment modality. There are many operative treatment options, prosthetic replacement with Austin Moore prosthesis (AMP) is one of the treatment option in this age group. Post Operative complications are thigh pain, hip dislocation & infection. Objectives: To determine the results of Austin moore prosthesis in fracture neck of femur in elderly patients in terms of mid-thigh pain. Study Design: Descriptive Case series & setting in Orthopedic Department Allied Hospital Faisalabad. Period: Study Period is from April 2008 to August 2010. Setting: All the cases done in Orthopedic department Allied & DHQ Hospital Faisalabad. Methods: All the patients were evaluated in emergency department of Orthopedics as per ATLS protocol and diagnose by obtaining X-Rays pelvis with both Hip Joints and were operated by consultant through moore’s approach Head of Femur was removed and replaced by Austinmoor’s prosthesis of appropriate size. In all cases one dose of prophylactic broad spectrum antibiotic were giving. Results: 56 Patients (31 males 55.4% + 25 female 44.6) with mean age 73.08 +8.13 are Included in the criteria and were operated with same implant. After 2 monthspost operatively 40 Patients had no pain 07 (12.5%) had mild (71.4%). Pain & 08 Patients 14.3 % had moderate pain. After 03 month post operatively 43 Patients (78.2%) had no pain, 02 (3.6%) had mil, 08 Patients (14.5%) moderate and 01(1.8%) had scene. Conclusion: Prosthetic replacement with AMP is one of the treatment options in femoral neck fracture.