Fracture neck of femur in elderly patients- fixation with hemiarthroplasty by posterior approach and complications

Dr. Tapan Jain, Dr. Pankaj Mishra, Dr. Harendra Singh, Dr. Vipin Singh, Dr. Anil Chouksey, Dr. Lakshya Bhardwaj
2020 International Journal of Orthopaedics Sciences  
The optimal approach for hemiarthroplasty is hotly debated. We analysed 60 consecutive elderly patients who underwent hemiarthroplasty. Patients were analysed for all complications, during and after surgery with special emphasis on incidence of dislocation. The results were gratifying and were comparable with major series of hemiarthroplasty via the posterior approach. 3 patients had a dislocation. 57 patients (95%) had no or minimal pain after the surgery. There were no major intra-operative
more » ... mplications and mean harris hip score was 86.5 at one year follow-up. We conclude that the posterior approach, already known to cause less blood loss is safe due to less intra operative and post operative complication. of the hip: a comparison of the dislocation rate after posterior and lateral approaches to the hip. Annals of The Royal College of Surgeons of England. 1994; 76(5):327. 23. Langlois J, Delambre J, Klouche S, Faivre B, Hardy P. Direct anterior Hueter approach is a safe and effective approach to perform a bipolar hemiarthroplasty for femoral neck fracture: outcome in 82 patients. Acta orthopaedica. 2015; 86(3):358-62.
doi:10.22271/ortho.2020.v6.i3j.2258 fatcat:q7oslomzzjewhcjs55s6tghxnm