To compare and analyze the functional outcome seen after hemiarthroplasty with uncemented Austin Moore’s prosthesis and non-cemented non-modular bipolar prosthesis in all displaced intracapsular femur neck fractures in elderly patients using the Harris Hip score in rural population

Abstract

Introduction: Fractures Neck of the femur is one of most common fractures seen by an orthopedician. The incidence of these fractures and the various problems arising from them are growing, the reason for this is mainly the increase in the occurrence of osteoporosis in elderly population. Aims and Objectives: To compare and analyze the functional outcome seen after hemiarthroplasty in displaced intracapsular fracture neck of the femur elderly patients using uncemented Austin Moore’s prosthesis and uncemented non-modular bipolar prosthesis by using Harris Hip score system in rural population. Observations and Results: In the present study total number of cases registered is 52 and one patient from both groups could not complete the study due to myocardial infarction, male and female ratio was 24/28. Out of 52 patient, the youngest patient among these group is 60years and oldest among this group is 90 years. The average age of the patient in group A is 72.68 years in Group B is 70 years. All the patients were encouraged to ambulate after 3 days after the surgery. All the 50 patients were followed up for minimum period of one year. Loosening, erosions or deep infections did not occur in both the group until the last follow up in our study. Discussion: In the present study it was proved that femoral neck fractures in old patient causes severe problems both to patient as well as to society. In a present scenario, hemiarthroplasties are limitedly used for selective patients. Conclusion: Primary Hemiarthroplasty, it is an effective surgery for most of the neck fractures in old age patients. The success rate of this surgery mainly depends on proper planning and execution to get best outcome. One year later percentage of patients achieving good to excellent results and the functional outcome with non-modular uncemented bipolar prosthesis were more than those with unipolar Austin Moore’s prosthesis though it was not statistically significant.