FEMORAL NECK FRACTURE;

OUTCOME OF UNIPOLAR HEMIARTHOPLASTY IN ELDERLY PATIENTS

Abstract

Objective: Objective of this study determines the outcome of unipolar
hemiarthoplasty in elderly patients with femoral neck fracture at Liaquat University Hospital
Hyderabad/ Jamshoro. Materials and methods: Total 50 elderly patients were included in the
study with femoral neck fracture and all the cases were selected from accident, emergency and
OPD. All the patients with the history of pregnancy, those patients who were unfit for anesthesia,
malignancy, neurological deficits of lower extremity, rheumatoid arthritis and Parkinson’s
disease regarding with systemically disease were excluded from the study. All the patients
under went surgical hemiarthoplasty treatment with Austin moor-femoral head prosthesia. In the
last all postoperative complications, functional outcome and mortality were noted on proforma.
Results: Total 50 patients were included in the study. Mean age of this study was mean±SD
64.98±4.13. Females were found in majority with male/ female ratio 1:1.27. Post operative pain
was noted in the 50% of the cases and out of them severe pain was noted only in 4% of the
cases. Superficial infection was seen in 4% of the cases and deep infection was not found in
the cases and death was occurred in 10% of the patients. On the outcome, excellent results
were found in the 44.44% of the study participants, good and fair results were seen in 26.66%
and 20% respectively, while poor results were seen in 8.88% of the patients. Conclusions: It
is concluded that unipolar hemiarthoplasty is of the reliable procedure by use of Austin-moor
femoral head prosthesia for the treatment of femoral neck fracture in elderly.