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Early result of hemiarthroplasty in elderly patients with fracture neck of femur

BACKGROUND: Fractured neck of femur is a frequent and severe injury in elderly patients with consequent high morbidity and mortality. Hemiarthroplasty is an established treatment modality for displaced intracapsular femoral neck fractures in elderly patients above 60 years. This study analysed the e...

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Autores principales: Daniel, Mue, Mohammed, Salihu, Francis, Awonusi, William, Yongu, Joseph, Kortor, Cornilius, Elachi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4314864/
https://www.ncbi.nlm.nih.gov/pubmed/25657497
http://dx.doi.org/10.4103/0300-1652.149174
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author Daniel, Mue
Mohammed, Salihu
Francis, Awonusi
William, Yongu
Joseph, Kortor
Cornilius, Elachi
author_facet Daniel, Mue
Mohammed, Salihu
Francis, Awonusi
William, Yongu
Joseph, Kortor
Cornilius, Elachi
author_sort Daniel, Mue
collection PubMed
description BACKGROUND: Fractured neck of femur is a frequent and severe injury in elderly patients with consequent high morbidity and mortality. Hemiarthroplasty is an established treatment modality for displaced intracapsular femoral neck fractures in elderly patients above 60 years. This study analysed the early functional outcome and complications of Austin Moore endoprosthesis in elderly patients above 60 years with fractured neck of femur. MATERIALS AND METHODS: Retrospective data were obtained over a 5 year period from January 2007 to December 2012. Thirty-five elderly patients of 60 years and above with displaced intracapsular fracture neck of femur treated with hemiarthroplasty using Austin Moore endoprosthesis were included. Data were analysed using SPSS version 21. RESULTS: A total of 35 patients were involved. The age-range was 60-90 years with mean age of 69.7 ± 7 years. The predominant mechanism of injury was trivial falls in 18 (66.7%) patients. The commonest complication was pressure sore in 2 (5.7%) patients, followed by surgical site infection in 1 (2.9%) patient and periprosthetic fracture in 1 (2.9%) patients. Early post-operative mortality was 2.9%. Post-operative hip functional status according to Postel and Merle d Aubigne revealed that majority (66.6%) of patients had satisfactory hip function. CONCLUSION: Functional outcome of Austin Moore in elderly patients above 60 years with fracture neck of femur was satisfactory in most of the cases with minimal morbidity. Careful patient selection for hemiarthroplasty is vital and may decrease the incidence of complications and ameliorate the outcomes in the treatment of intracapsular femoral neck fractures.
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spelling pubmed-43148642015-02-05 Early result of hemiarthroplasty in elderly patients with fracture neck of femur Daniel, Mue Mohammed, Salihu Francis, Awonusi William, Yongu Joseph, Kortor Cornilius, Elachi Niger Med J Original Article BACKGROUND: Fractured neck of femur is a frequent and severe injury in elderly patients with consequent high morbidity and mortality. Hemiarthroplasty is an established treatment modality for displaced intracapsular femoral neck fractures in elderly patients above 60 years. This study analysed the early functional outcome and complications of Austin Moore endoprosthesis in elderly patients above 60 years with fractured neck of femur. MATERIALS AND METHODS: Retrospective data were obtained over a 5 year period from January 2007 to December 2012. Thirty-five elderly patients of 60 years and above with displaced intracapsular fracture neck of femur treated with hemiarthroplasty using Austin Moore endoprosthesis were included. Data were analysed using SPSS version 21. RESULTS: A total of 35 patients were involved. The age-range was 60-90 years with mean age of 69.7 ± 7 years. The predominant mechanism of injury was trivial falls in 18 (66.7%) patients. The commonest complication was pressure sore in 2 (5.7%) patients, followed by surgical site infection in 1 (2.9%) patient and periprosthetic fracture in 1 (2.9%) patients. Early post-operative mortality was 2.9%. Post-operative hip functional status according to Postel and Merle d Aubigne revealed that majority (66.6%) of patients had satisfactory hip function. CONCLUSION: Functional outcome of Austin Moore in elderly patients above 60 years with fracture neck of femur was satisfactory in most of the cases with minimal morbidity. Careful patient selection for hemiarthroplasty is vital and may decrease the incidence of complications and ameliorate the outcomes in the treatment of intracapsular femoral neck fractures. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4314864/ /pubmed/25657497 http://dx.doi.org/10.4103/0300-1652.149174 Text en Copyright: © Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Daniel, Mue
Mohammed, Salihu
Francis, Awonusi
William, Yongu
Joseph, Kortor
Cornilius, Elachi
Early result of hemiarthroplasty in elderly patients with fracture neck of femur
title Early result of hemiarthroplasty in elderly patients with fracture neck of femur
title_full Early result of hemiarthroplasty in elderly patients with fracture neck of femur
title_fullStr Early result of hemiarthroplasty in elderly patients with fracture neck of femur
title_full_unstemmed Early result of hemiarthroplasty in elderly patients with fracture neck of femur
title_short Early result of hemiarthroplasty in elderly patients with fracture neck of femur
title_sort early result of hemiarthroplasty in elderly patients with fracture neck of femur
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4314864/
https://www.ncbi.nlm.nih.gov/pubmed/25657497
http://dx.doi.org/10.4103/0300-1652.149174
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