Functional and radiological outcome of lateral approach for hemiarthroplasty for hip

Author(s): Dr. Dhiyanesh K and Dr. Reguvaran

Abstract: With increasing geriatric population, more number of femoral neck and trochanteric fractures are noted. Surgery being the gold standard for early mobilisation, less evidence exists on surgical approach. The aim of this study was to assess the functional and radiological outcome of lateral approach in patients of more than 55 years of age. 30 patients above 55 years of age with an acute fracture of the femoral neck, who underwent hemiarthroplasty through lateral approach, in the Department of Orthopaedics, MGMC&RI, SBV university were followed up for 6 months and their functional and radiological outcomes assessed. The patients were of a mean age of 69.2. The mean Harris hip score was 77.5. There was no incidence of prosthetic dislocation, infection. Complications like Limb length discrepancy, myositis ossificans were noted. Abductor lurch were present which recovered with regular physiotherapy and ambulation. The use of Lateral approach to the hip in hemiarthroplasty showed excellent outcomes and no dislocation rates and hence the preferred approach for hemiarthroplasty.

DOI: https://doi.org/10.22271/ortho.2019.v5.i1d.38