Prosthetic replacement in femoral neck fracture in the elderly: results and review of the literature.

Indian Journal of Orthopaedics
S K S MaryaChandeep Singh

Abstract

Intracapsular fractures of the proximal femur account for a major share of fractures in the elderly. The primary goal of treatment is to return the patient to his or her pre-fracture functional status. There are multiple internal fixation options (screws, dynamic hip screw plate or blade plates) and hemi and total hip arthroplasty. Open reduction and internal fixation has been shown to have a high rate of revision surgery due to nonunion and avascular necrosis. Hip replacement arthroplasty (hemi or total) is a viable treatment option. Eighty-four elderly patients (age >70 years) with a femoral neck fracture were treated over a five-year period (January 2001 to December 2006). Eighty of the 84 patients underwent some form of hip replacement after appropriate medical and anesthetic fitness. We had good results in all the patients in terms of return to pre-fracture level of activity, independent ambulation and satisfaction with the procedure. Patients over the age of 80 years who underwent bipolar hemiarthroplasty all progressed well without any complication. Patients in their seventies underwent some form of total hip replacement and barring one case of deep infection, two cases of deep vein thrombosis and three cases of dislocat...Continue Reading

References

Feb 1, 1986·Acta Orthopaedica Scandinavica·S HolmbergK G Thorngren

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Citations

Sep 16, 2009·Indian Journal of Orthopaedics·Ashish Anand
Sep 16, 2009·Indian Journal of Orthopaedics·Sanjiv Kumar Singh MaryaChandeep Singh
Oct 7, 2010·Indian Journal of Orthopaedics·Ken HiragamiYoshiyuki Maruyama
Jan 12, 2011·Indian Journal of Orthopaedics·Moin KhanRudolf W Poolman
Mar 9, 2021·Journal of Clinical Orthopaedics and Trauma·Sanjay AgarwalaMahmoud Bhingraj

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Methods Mentioned

BETA
total hip arthroplasty

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