A retrospective evaluation of functional outcome of partial hip replacement for fracture neck femur

Author(s): Dr. R Bhandari and Dr. Ashish Sirsikar

Abstract: Background: Fracture neck femur is one of the most common fractures in the elderly age-group. The term “An Unsolved Fracture” still holds true for fracture neck femur. There is still a controversy about the use of Partial Hip Replacement for the treatment of these fractures in the elderly age group. Objective: This paper is a retrospective analysis of the functional outcome of patients after partial hip replacement in our institute.
Methods: 120 patients with fracture neck femur were treated by Partial Hip Replacement in our hospital setup from 2011 to 2016 and had at least one-year follow-up. All patients had displaced fracture neck femur, and the standard posterior approach was used for all operations. Either Austin Moore or Bipolar Prosthesis was used. All patients were followed at the out patients clinic and evaluated by Harris Hip Score for functional outcome, at one year follow-up, and were classified into four levels: Poor, Fair, Good and Excellent.
Results: Our study reveals that 68.3% (82 out of 120) patients achieved excellent-to-good Harris Hip Score. Out of the 140 patients, three patients got infected (2.5%), one prosthetic hip dislocated (0.83%), and one experienced a peri-prosthetic fracture (0.83%).
Conclusion: Our study reveals that a significant number of patients achieved excellent-to-good results. We showed a relatively low incidence of complications.

DOI: https://doi.org/10.22271/ortho.2018.v4.i2g.63