alexa Total Hip Arthroplasty for Displaced Femoral Neck Fract
ISSN: 2161-0533

Orthopedic & Muscular System: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Elderly Patients

Kapil Mani KC*, Dirgha Raj RC, Parimal Acharya and Bandhu Ram Pangeni

Civil Service Hospital, Kathmandu, Bagmati, Nepal

*Corresponding Author:
Dr. Kapil Mani KC
Assistant Professor
Civil Service Hospital
Orthopedics Minbhawan
Kathmandu, Bagmati, Nepal
Tel: 009779841244502
E-mail: [email protected]

Received Date: November 24, 2015; Accepted Date: December 11, 2015; Published Date: December 18, 2015

Citation: Mani KKC, Raj DRC, Acharya P, Pangeni BR (2015) Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Elderly Patients. Orthop Muscular Syst 4:204. doi:10.4172/2161-0533.1000204

Copyright: © 2015 Mani KKC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: The management of displaced femoral neck fracture in elderly patients is debated subject for many years. There is high chance of fracture nonunion with internal fixations, significantly increased bone wear both in hemi-arthroplasty (HA) and bipolar arthroplasty ultimately landing into the revision surgery. In recent years total hip arthroplasty (THA) for displaced fracture neck of femur in elderly patients has been considered as a primary treatment because of its excellent functional outcomes, low revision rates and even cost effective.
Materials and Methods: A total of 20 total hip arthroplasty was performed for displaced femoral neck fracture of patients more than 65 years. All the patients were operated through modified Harding’s approach. Both cemented and un-cemented types of arthroplasty were performed. Functional outcomes of hip were evaluated at 3 months and 1 year after surgery.
Results: The Average age of patients was 71.5 year (range 66 to 81 years) with 8 (40%) male, 12 (60%) female. There were 7 (35%) fractures in right side and 13 (65%) in left side. Fifteen percentage of patients have diabetes mellitus, 20% have hypertension, 15% have old cerebro-vascular accident (CVA) and 25% have Ischemic heart disease (IHD). Even though post-operative mortality after 3 month was nil, one year mortality was 5%. Functional outcomes of hip according to Harris Hip Score (HHS) were 85% of excellent and good results and 15% of fair results.
Conclusion: Total hip arthroplasty is a good option for displaced femoral neck fracture for independently mobile, mentally competent, elderly patients of age more than 65 years with better rehabilitation potential, function of hip, and very low revision rate.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords