Radiological assessment of total hip arthroplasty in displaced neck of femur fracture: An observational study

Abstract

Aim: Radiological assessment of Total Hip Arthroplasty in Displaced fracture Neck of femur. Materials and Methods: This observational study was carried out in the Department of Orthopaedics, American International Institute of Medical Sciences, Udaipur, Rajasthan, India. Total 110 patients were treated with total hip replacement. Plain X-ray pelvis with both hip joints and proximal femur - pre and post-operative - AP view, preoperative X-ray of affected hip- lateral view, X-ray of the operated hip with proximal 2/3rd of femur- AP and lateral view were evaluated. Results: Out of 110, 80 patients were male and 30 female. Most of the patients in this study were above 60 year, followed by 55-60 year. Patients scored 47.3% excellent, 27.3% good, 10.9% fair and 14.5% poor. The acetabular cup inclination 85 neutral, 15 vertical and 10 horizontal positions were seen. Femoral stem positions were central in 82 hips, valgus in 15 hips and varus in 13 hips. There were 2 subsidences and 1 migration. Class II heterotopic ossification was noted in 4 hips, i.e., 6% incidence that underwent THA. We had 2 cases of dislocation (1.8%). Conclusion: The result of this study shows that Total Hip Arthroplasty gave good results in Displaced Intracapsular Neck of femur fractures with radiological assessment.