Austin Moore Prosthesis Research Articles

Trends in managing femoral neck fractures with arthroplasty in the ≥ 50 years age group.

To know about the trends in the management of neck of femur fractures with arthroplasty in patients ≥ 50 years. It is a retrospective cross-sectional study with data collection from Hospital Management Information System from 1st January 2020 to 31st July 2023. SPSS version 25 was used for data analysis. Mean & standard deviation was reported for quantitative variable & frequency and proportion were reported for qualitative variables. The cross- tabulations were performed to evaluate the association between the variables. Total number of patients in this study was 305. Mean age was 67.80 ± 10.5 SD. Male to female ratio was 150:155. Co-morbidities were found in 126 patients. The surgical options used were Austin Moore prosthesis (64), Cemented Bipolar (36), Hybrid Total Hip Replacement (7), Non-cemented Total Hip Replacement (86), Cemented Total Hip Replacement (32), Uncemented Bipolar (71). Garden Type-2 fracture was noted in 33 patients, Type-3 in 170 patients and Type-4 in 87 patients. Cemented stem was used in 74 patients while 222 patients had non-cemented stem. One quarter of the patients had cemented stem implanted compared to three quarter of the patients who had non-cemented stem.

A comparative study of the outcome of displaced fractures neck of femur treated with unipolar prosthesis and fenestrated bipolar prosthesis in active elderly patients

Background: Fractures of the neck or femur are among the most serious surgical problems affecting older groups. These fractures constitute a large burden on families and society due to the inability to stand and walk. Objectives were to compare the functional outcomes of unipolar (Austin-Moore) versus uncemented bipolar hemiarthroplasty in displaced fractures neck femur among these active elderly patients. Methods: This prospective interventional study was carried out at NITOR, Dhaka, Bangladesh in total 60 patients. Among them, 30 patients were treated with unipolar and 30 patients were treated with fenestrated bipolar prosthesis through a lateral approach. Results: There was no significant age difference between the two groups. Regarding the functional outcome, 6 (20%) patients in the unipolar group and 11 (36.67%) patients in the bipolar group had excellent outcomes. About the same number of patients had good outcomes 36.67% in the unipolar and 43.33% in the bipolar group; the fair and poor outcome was more in the unipolar group than the bipolar group. So, the final outcome after 6 months of operation, 57.57% of patients had satisfactory results in the unipolar group whereas 80% of patients had satisfactory results in the bipolar group. The average Harris hip score was 77.14±14.58 in the unipolar group and 84.63±10.15 in the bipolar group and the p=0.01 which is below 0.05. So, the result is statistically significant. Conclusions: Uncemented bipolar hemiarthroplasty with a fenestrated stem can give better functional outcomes for displaced intracapsular femoral neck fractures in active elderly patients compared to Austin-Moore prostheses.

COMPARISON OF FUNCTIONAL OUTCOMES BETWEEN UNCEMENTED UNIPOLAR AND CEMENTED BIPOLAR HEMIARTHROPLASTY FOR INTRACAPSULAR NECK FEMUR FRACTURES IN ELDERLY

Background: Femoral neck fractures (FNF) are a growing problem in our ageing society and have been associated with high morbidity and mortality. Hemiarthroplasty is the most commonly used treatment for displaced femoral neck fractures in the elderly. There is limited evidence in the literature of functional outcome with cemented implants compared to AMP in aged more than 70 years. Hence an attempt is made to compare the outcome with unipolar vs cemented bipolar prosthesis for displaced fracture neck of femur in patients aged more than 70years. Ours is a prospective comparative st Materials And Method: udy conducted, involving 40 patients with short term follow up of one year. Elderly patients above 70 years of age, with displaced fracture neck of femur were included. 20 patients were operated with Austin Moore Prosthesis (AMP) and 20 with bipolar prosthesis. The functional hip score was assessed using Harris Hip Score (HHS). The statistical software SPSS 15.0 (Statistical Package for Social Sciences) was used for the analysis of our data. In our study, Result: mean duration of surgery in uncemented group was 70 minutes and mean duration of surgery in cemented group was 82 minutes. On the basis of HHS the results were at 6 weeks follow up we had 70.2 for uncemented group and 77.5 for cemented group and in the last follow up at 6 months, we found HHS 84.2 for uncemented group and 85.6 for cemented group. There were 3 complications in cemented as a cement reaction and 2 supercial infection one in cemented and other in uncemented group. Both cemented Conclusion: and uncemented prostheses can be recommended according to our study because they were equally good regarding functional outcome and health-related quality of life, contrary to the generalized and limited published evidence. The seeming advantages of shorter duration of surgery and potentially less blood loss with the uncemented implant are of little importance compared with the important ndings of equivalent functional results. Both implants may be used with good results after displaced femoral neck fractures.

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

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.

A comparison between Austin-Moore and Corail prosthesis regarding intraoperative periprosthetic femur fractures in hip hemiarthroplasty

Hip hemiarthroplasty is considered the treatment of choice for displaced femoral neck fractures in elderly less active patients. One important complication of this procedure is an intraoperative periprosthetic femur fracture (IPF), which may lead to poor functional outcome and may increase morbidity and mortality. Our primary aim in this study is to compare between Austin-Moore and Corail prosthesis regarding IPFs. Our secondary aim is to assess patient and surgical technique related risk factors for the development of this complication. Inclusion criteria included patients older than 65 years of age who had a displaced femoral neck fracture and were operated for hip hemiarthroplasty between the years 2014–2018. Patient-specific data was collected retrospectively including age, gender, comorbidities, pre-injury ambulatory status, duration of surgery, surgical approach, use of Austin-Moore or Corail prosthesis, surgeon’s experience and type of anesthesia applied. In addition, radiographs were reviewed for measurement of calcar to canal ratio (CDR) and classification of Dorr canal type. 257 patients with an average age of 83.7 years were enrolled in the study. 118 patients (46%) were treated with an Austin-Moore prosthesis, while 139 (54%) were treated with a Corail prosthesis. A total of 22 patients (8.6%) had intraoperative fractures. Fracture prevalence was significantly higher in the Corail group compared with the Austin-Moore group (12.2% vs. 4.2%, p = 0.025). The majority of patients had a Dorr A type femoral canal, while the rest had Dorr B type canal (70% vs. 30%). There was no difference in fracture prevalence between Dorr A and B canal type patients. We didn’t find any significant risk factor for developing an IPF, neither patient wise (age, gender, and comorbidities) nor surgical technique related (surgical approach, type of anesthesia, and surgeon’s experience). Intraoperative periprosthetic fracture prevalence was significantly higher in the Corail patient group compared with the Austin-Moore group. This may be an important advantage of the Austin-Moore prosthesis over the Corail prosthesis.

Evaluation of functional outcome of patients with fracture neck of femur treated with Austin Moore prosthesis at government medical college, Thrissur-a prospective study during October 2019 to October 2020

<p><strong>Background</strong>: Femoral neck fractures commonly affects the elderly population. 90% of femoral neck fractures in the elderly result from simple fall. Elderly age group suffers from innumerable illnesses such as diabetes, hypertension, coronary artery disease, chronic obstructive pulmonary disease, all of which can aggravate following a femoral neck fracture because patient can become completely bedridden. The aim of treating these patients is to make them mobilize as early as possible to achieve his or her pre-fracture functional status. The incidence of femoral neck fractures is increasing dramatically as the mean age of the population increases. Prosthetic replacement allows immediate weight bearing to elderly patients and thus helps to avoid complications of recumbency and inactivity. To study the functional outcome in patients with femoral neck fractures treated with Hemiarthroplasty using Austin Moore prosthesis.</p><p><strong>Methods</strong>: Prospective study was done among 42 consented patients who sustained neck of femur fractures and were admitted in department of orthopaedics, government medical college, Thrissur, between 01/10/19 to 01/10/20, who were aged above 60 years and presenting within 3 weeks of injury. Patients were followed up at an interval of 6 weeks, 3 months and 6 months functional outcome was analysed by modified Harris hip scoring system.</p><p><strong>Results:</strong> Among the 42 subjects, 52.4 % were females and the rest were males. Mean age of the study population was 71.57±7.047 years. Harris hip score at end of 6 months ranged from 35 to 94. 33.3% of hemiarthroplasties had hip score of 91-100 (excellent), 38.1% of the hemiarthroplasties had scores of 81-90 (good), 19% had satisfactory/fair results whereas only 9.5% of hemiarthroplasties fell in poor category with scores below 70.</p><p><strong>Conclusions:</strong> Hemiarthroplasty with Austin Moore prosthesis is still a good option in elderly patients with femoral neck fractures.</p>

Study of Early Outcome of Austin Moore's Prosthesis in Fracture Neck Femur in Elderly

Study of Early Outcome of Austin Moore's Prosthesis in Fracture Neck Femur in Elderly

Functional Outcome of Hemiarthroplasty Fracture with Austin Moore and Bipolar Prosthesis

Functional Outcome of Hemiarthroplasty Fracture with Austin Moore and Bipolar Prosthesis

Evaluation of functional outcome of intracapsular fracture neck of femur with Austin Moore prosthesis at a tertiary care hospital in Srikakulam

Introduction: Fractures of the femoral neck are common injuries occurring in the elderly population due to osteoporosis. They present a significant challenge to Orthopaedic surgeons because of the high rate of complications like nonunion, avascular necrosis, and associated comorbidities. Historically, Austin Moores prosthesis has served as an exemplary implant over the years in the management of intracapsular fracture neck of femur in older individuals. Our aim of the study is to asses postoperative function in these population and to validate the use of AMP in current Orthopaedic practice. Methods & Materials: This is a hospital-based cohort study. We did this study in thirty patients who had the fractured neck of the femur using Austin Moore Prosthesis, who are admitted to the Department of Orthopaedics in Great Eastern Medical School & Hospital, Srikakulam from Dec 2017 to Dec 2019. All patients were followed for twelve months. It is a patient-reported outcome study based on a questionnaire using a Harris hip score. Results: Harris hip score, which is the gold standard in the assessment of postoperative function in hip surgeries was used in this study. We graded the patients as excellent, good, fair, and poor depending on the functional outcome based on each criterion in this scoring system. The functional results were excellent in 50%, good in 23.3%, fair in 23.3%, and poor in 3.3% of cases. The poor results are due to moderate hip pain after surgery. The complication rate was low. Conclusion: Hemiarthroplasty with Austin Moore Prosthesis proved to be a good choice for the management of fracture neck femur in the elderly population with limited physical demand and low economic background. The mortality and morbidity are low; the operative procedure is simple with satisfactory functional results and fewer complications.

A study of prospective analysis of unipolar versus bipolar hemiarthroplasty of hip joint in patients with fracture neck of femur

<p class="abstract"><strong>Background:</strong> Femoral neck fractures occur most commonly in elderly females and are a major cause of morbidity and mortality in this age group and require immediate and appropriate management. Aim of the study was to compare the functional outcome of unipolar Austin Moore's prosthesis (AMP) hemiarthroplasty (HA) and bipolar (BHA) HA with femoral neck fractures using Harris hip score system.</p><p class="abstract"><strong>Methods:</strong> The study was conducted on 60 patients aged above 50 years with fractured neck of femur admitted in Vinayaka missions Kirupananda Variyar medical college and hospital from August 2017 to August 2019. Patients with femoral neck fracture were allocated randomly to have 30 cases of AMP.</p><p class="abstract"><strong>Results:</strong> Out of the 60 cases, the patients in the bipolar (nonmodular) HA group II showed better functional outcomes compared to unipolar (AMP) HA group I after six months follow-ups. At 12 months of follow-up, there was no significant difference between group I (AMP) and group II (BHA).</p><p class="abstract"><strong>Conclusions:</strong> Our study demonstrates, hemiarthroplasty of the hip for femoral neck fractures is a good option in elderly patients. The mortality and morbidity are not high, the operative procedure is simple, complications are less disabling, early weight-bearing and functional results are satisfactory and second surgery are less frequently required.</p>

AUSTIN MOORE PROSTHESIS IN THE MANAGEMENT OF FRACTURE NECK OF FEMUR IN AN ELDERLY POPULATION.

Introduction: Intracapsular fractures of the proximal femur form a major share of fractures in the 77 elderly. Hip replacement arthroplasty (partial or total) is emerging as a most viable treatment option, and in that, hemiarthroplasty with the Austin Moore Prosthesis is among the most commonly employed. In our study, we have made an attempt to assess the functional status at long term follow up after hemiarthroplasty with the AMP, used in the treatment of fracture neck of femur in the elderly population, and to substantiate the use of the prosthesis in modern day orthopaedic practice. Materials and : A retrospective study was carried out in patients above the age of 60 years, who had been diagnosed with non-pathological fracture neck of femur, treated operatively with hemiarthroplasty using the Austin Moore prosthesis in a tertiary care centre. A minimum follow up period of two years was considered. All the patients were evaluated clinically, and wherever possible, radiologically. Functional outcome was assessed based on the Harris Hip scoring system, and the results were analysed. Radiologically, an attempt was made to assess, among others, the amount of protrusio acetabuli at follow up, and femoral offset changes following hemiarthroplasty with the AMP. Results: In our study, we observed a positive functional outcome (excellent or good) in 9(45%) patients, with fair result in 6(30%) and poor in 5(25%). However, when pain alone was taken as criteria for assessment, upto 14(75%) patients had none to slight pain at follow up, and only 1(5%) patient had marked pain. Walking distance was significantly reduced in 6(30%) patients, who were either confined indoors or bedridden, but in only 1(5%) of them, the cause for the decreased ambulatory status was implant or procedure related (pain). Among the complications, 1 patient had a post-operative periprosthetic fracture that healed subsequently, 2 patients had marked osteolysis around the stem of the prosthesis, and only 1 patient had a radiological evidence of protrusio acetabuli. Discussion: Hemiarthroplasty with Austin Moore Prosthesis for fracture neck of femur remains a fairly good treatment option in elderly patients.

Evaluation of Austin Moore prosthesis in the femur neck fracture management: Retrospective study

Introduction: Femoral neck fractures have been considered unsolvable fractures ‘in the older era of orthopedics due to the high rate of associated complications, which include non-union and avascular necrosis of the femoral head, among others. The aim of the study was to assess the functional outcome following the use of Austin Moore prosthesis in the elderly population and to substantiate the use of AMP in modern-day orthopedic practice. Materials and Methods: A total of 40 patients were included in the study. The patients who were more than 60 years of age, those were not having any major hip surgery or problem before the fracture; all those who were treated with Austin prosthesis were included in the study. Results: The patients were graded as excellent, good, fair, and poor depending on the functional outcome of the study based on each of the criteria for the assessment of the hip. The score range from 30 to 95 in the present study. Good to excellent results were obtained in around 45% of patients, satisfactory results were obtained in 30% and the poor result was obtained in 25% patients. Conclusion: Hemiarthroplasty with Austin Moore Prosthesis for fracture neck of femur gives fairly good long term functional outcome in elderly patients. Patients are, for the most part, without pain. Even if there, pain is usually not disabling and doesn‘t affect routine ambulation, except when the prosthesis is loose or there is acetabular erosion. These complications are the exception rather than the norm.

Complications following fracture neck of femur treated with austin moore hemiarthroplasty: A rare case report

A 72-year-old male patient was operated by Austin Moore hemiarthroplasty for fracture neck of femur 6 years back who developed multiple complications. In this case, the patient developed dislocation of the hip joint following which the Austin Moore prosthesis got broken. During revision with bipolar hemiarthroplasty, the patient developed fracture of proximal femur which was poorly managed by K-wires and stainless steel wires. After some time, the patient developed dislocation of the bipolar prosthesis and signs of infection. We operated this patient with a two-stage revision. In the first stage following removal of all infected metalwork and debridement, we put antibiotic cement spacer, and after 4 weeks in the second stage, we did a total hip replacement with uncemented constrained proximal femoral modular reconstruction prosthesis. The case is being reported for its rare presentation in genuine management and successful outcome.

Austin moore vs bipolar prosthesis in management of intracapsular fracture of neck of femur by hemiarthroplasty

Introduction: Fracture neck of femur is one of the widely occurring hip fractures among elderly people in India. They greatly affect the quality of life in patients, and 30% mortality is observed in these fractures. This study was carried out to study the profile of fracture neck of femur presenting to a tertiary care teaching hospital. The study also assessed functional outcome differences between Austin Moore and bipolar hip prosthesis used in hemiarthroplasty. Methods: The present prospective study includes 50 cases of intracapsular fracture neck of femur in elderly patients above the age of 55 years irrespective of sex treated by hemiarthroplasty using unipolar (Austin Moore’s) or bipolar(nonmodular) endoprosthesis followed up for 6 months. After surgery, all the cases were followed up. The functional results after hemiarthroplasty were analyzed using Harris Hip Score (HHS). Results: The mean age was 63.14±5.66 in AMP, and it was 63.29±4 in bipolar prosthesis. The other baseline parameters were comparable between the groups. The mean Harris hip score was 83.19±10.94 in AMP, and it was 84.62±9.53 in bipolar prosthesis. The difference was statistically not significant (P value 0.654). A higher percentage of patients, about 43% were found to have good functional outcome with bipolar prosthesis than those with Austin Moore prosthesis whose percentage having fair outcome was found to be 19%. However, no significant difference was seen between the groups. Conclusion: Treatment outcomes were similar between the two groups.

Modified Unipolar Hemiarthroplasty for the Treatment of Metastatic Lesions of Proximal Femur with Pathological Fractures: Case Series of Six Patients.

Introduction: Proximal femur resection and endoprosthetic reconstruction is the preferred treatment for extensive bony destruction and pathological fractures. Due to the relatively high cost of endoprosthesis, we adopted the modified unipolar hemiarthroplasty (MUH) for reconstruction when the mode of treatment was for palliation.Materials and Methods: This is a retrospective case study of six patients, who had bone and multi-organs metastases with extensive proximal femur involvement with pathologic fractures who underwent resection and MUH reconstruction during the period 2013 to 2017. All patients were classified as Group B / C based on Scandinavian Sarcoma Group survival scoring, with estimated survival of maximum six months. The basic MUH construct consisted of Austin-Moore prosthesis which was secured to a Küntscher nail using cerclage wire and cemented into the femoral canal. Subsequently, the whole length of the prosthesis which remained outside the canal was coated with cement.Results: The mean age was 61.8 years. The mean survival was 3.9 months, post-operation. There was no implant failure during patients’ life span; however, a third of the patients developed infection. Wheel chair ambulation was started immediately post-operation for all patients, and two patients progressed to walking frame ambulation. The total cost of each construct was below US$490 in comparison to long-stem hemiarthroplasty (roughly US$ 1700).Conclusion: Our aim was to alleviate pain, facilitate rehabilitation, ease nursing care and improve quality of life for metastatic bone disease patients until end of life. MUH for the treatment of pathological fracture in proximal femoral metastases is a feasible palliative surgical modality in resource-limited settings.

Role of austin moore prosthesis in intracapsular fracture neck of femur in elderly

Background: In elderly people neck of femur fractures are common. For which hemiarthroplasty is most popular surgery doing by an orthopaedic surgeon. Usually hemiarthroplasty can perform either with unipolar or bipolar prosthesis. Purpose: The aim of this study is to know the outcome of unipolar prosthesis in elderly patients presented with fracture neck of femur.Materials and Methods: From October 2014 to October 2016, 30 patients aged above 60 years who were admitted in the department of orthopaedics in R.L Jalappa Hospital, kolar were included. Functional outcome were assessed with Harish Hip Score.Results: The study included 53% females and 47% males. 47% were in the age group of 70-79, followed by 43%, 10% were 60 to 69 years and 80-89 years age groups respectively. Left sided hip fracture was 57% which is more than Right sided hip fracture 43%. Fracture was classified as per Garden classification, Type IV were 14, Type III 12 and Type II 4. Most commonly used prosthesis size was 47 ranged from 39 to 49.After 6 months follow-up outcome analyzed by Harris hip score and found to be Excellent 47%, Good 27%, fair 20% and poor in 6.6%. 13% of the study subjects had complication like superficial infections and bed sore which was treated with regular dressings and antibiotics.Conclusion: Austin Moore prosthesis gives a better function, safe operation, lesser pain and improved gait function outcome even in elderly with significant medical problems.

Surgical management of intracapsular fracture neck femur by hemiarthroplasty between uncemented bipolar prosthesis and Austin Moore’s prosthesis: a comparative study in elderly population

<p class="abstract"><strong>Background:</strong> Intracapsular femoral neck fractures are common in elderly population after a simple fall. To avoid the drawbacks of internal fixation and for the early mobilization, hemiarthroplasty is performed in elderly. The aim of this study is to compare the outcome AMP with uncemented bipolar prosthesis in geriatric patients.</p><p class="abstract"><strong>Methods:</strong> 51 patients above 60 years and an acute displaced fracture of the femoral neck were randomly allocated to treatment by either AMP (Austin Moore prosthesis) or bipolar hemiarthroplasty, in the Department of Orthopaedics, Sri Siddhartha medical college, Tumkur between April 2014 and May 2017. The patients were summoned at 6 weeks, 12 weeks, 6 months and 1 year. Functional outcome was assessed and compared with modified Harris hip score and radiological parameters.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean Harris hip score in bipolar and AMP group was 86.31±12.1 and 79.86±15.42, respectively (p=0.182). The range of motion was 204.52±28.2 and 183.62±36 (p=0.014) respectively. Functional activities like use of public transport and ability to wear shoe or socks was better with bipolar group. Incidence of complications like painful hip, posterior dislocation, periprosthetic fracture and acetabular erosion was encountered in AMP group.</p><p class="abstract"><strong>Conclusions:</strong> The use of uncemented bipolar endoprosthesis in the management of displaced femoral neck fractures in the elderly was associated with better mean Harris hip score and incidence of complications was limited. Hence, bipolar would be a better option in elderly patients with fracture neck of femur.</p><p class="abstract"> </p>

Treatment of Femoral Neck Fracture in Elderly a Comparative Study between Austin Moore Prosthesis and Bipolar Prosthesis

Treatment of Femoral Neck Fracture in Elderly a Comparative Study between Austin Moore Prosthesis and Bipolar Prosthesis

Historically, did Cemented Thompson perform better than uncemented Austin Moore hemiarthroplasty for femoral neck fractures? A meta-analysis of available evidence.

Introduction: Thompson and Austin Moore prostheses have been commonly used in hemiarthroplasties for displaced femoral neck fractures. There has been considerable debate about which of these prostheses is preferred. The purpose of this meta-analysis was to compare historical data for clinical outcomes of cemented Thompson and uncemented Austin Moore hemiarthroplasty in displaced femoral neck fractures.Methods: We searched Medline via PubMed, Cochrane Central, Scopus, Ovid and Web of Science for relevant articles up to February 2019. The included outcomes measured were hip function, hip pain, implant-related complications, surgical complications, reoperation rate and hospital stay. The data were pooled as risk ratio (RR) or mean difference (MD) with 95% confidence interval (CI) between the two compared groups in a meta-analysis model.Results: Ten studies (four RCTs and six observational studies) with a total of 4378 patients were included in the final analysis. The pooled RR showed that the Thompson group was associated with a lower incidence of postoperative hip pain (RR = 0.66, 95% CI [0.54, 0.80]), lesser reoperation rate (RR = 0.46, 95% CI [0.24, 0.88]), lesser intraoperative fractures (RR = 0.15, 95% CI [0.09, 0.25]), but a longer operative time (MD = 12.04 min, 95% CI [2.08, 22.00]) in comparison to the Austin Moore group. The effect estimate did not favour either group in terms of hip function, periprosthetic fractures, prosthetic dislocations, wound infection, mortality and hospital stay.Conclusion: Evidence shows that Thompson hemiarthroplasty is better than Austin Moore hemiarthroplasty in terms of hip pain, reoperation rate and intraoperative fractures. Whereas the postoperative hip function is equivalent, these results could be considered when assessing the outcomes in modern hips.

FEMORAL NECK FRACTURE

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.