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Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience

INTRODUCTION: Neck of femur fractures in the elderly population are common and often a devastating condition. The optimal treatment has been a subject of debate. Arthroplasty has been shown to be the most viable treatment option. The high cost of total hip replacement makes hemiarthroplasty a suitab...

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Autores principales: Chiroma, Muhammad Musa, Ibrahim, Mustapha Usman, Salihu, Muhammed Nuhu, Awonusi, Francis Olusoji, Mamuda, Abdul Rahman Alhaji, Abubakar, Muhammad Kabir, Adamu, Kabir Musa, Muhammad, Shamsuddeen, Bello, Bashir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536403/
https://www.ncbi.nlm.nih.gov/pubmed/36213807
http://dx.doi.org/10.4103/jwas.jwas_109_22
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author Chiroma, Muhammad Musa
Ibrahim, Mustapha Usman
Salihu, Muhammed Nuhu
Awonusi, Francis Olusoji
Mamuda, Abdul Rahman Alhaji
Abubakar, Muhammad Kabir
Adamu, Kabir Musa
Muhammad, Shamsuddeen
Bello, Bashir
author_facet Chiroma, Muhammad Musa
Ibrahim, Mustapha Usman
Salihu, Muhammed Nuhu
Awonusi, Francis Olusoji
Mamuda, Abdul Rahman Alhaji
Abubakar, Muhammad Kabir
Adamu, Kabir Musa
Muhammad, Shamsuddeen
Bello, Bashir
author_sort Chiroma, Muhammad Musa
collection PubMed
description INTRODUCTION: Neck of femur fractures in the elderly population are common and often a devastating condition. The optimal treatment has been a subject of debate. Arthroplasty has been shown to be the most viable treatment option. The high cost of total hip replacement makes hemiarthroplasty a suitable option in our environment. MATERIALS AND METHODS: This study was designed to measure the outcome of hemiarthroplasty after femoral neck fracture using Harris hip score in patients aged 60 and above at the National Orthopaedic Hospital, Dala, Kano, Nigeria. RESULTS: Twenty-five consecutive patients 60 years and above with femoral neck fracture who met the inclusion criteria and gave consent were enrolled into the study. The mean Harris hip score at the pre-operative period was 16.92. Fourth week after the surgery, the mean Harris hip score was 69.96. The score rose further to 75.24 and 80.96 at 12 weeks and 6 months post-operatively. The difference between the mean pre-operative and post-operative scores at 4th week, 12th week, and 6th month was statistically significant. During the pre-operative period, all patients had a poor Harris hip score grade. Six months after the surgery, 7 patients (28%) had an excellent Harris hip score grade, 12 patients (48%) had good grades, and 1 patient (4%) had a fair Harris hip score grade. Five patients (20%) had a poor Harris hip score grade at 6 months. CONCLUSION: From the findings of this study, it can be concluded that early functional outcomes of hemiarthroplasty for femoral neck fracture in the elderly are good and satisfactory.
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spelling pubmed-95364032022-10-07 Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience Chiroma, Muhammad Musa Ibrahim, Mustapha Usman Salihu, Muhammed Nuhu Awonusi, Francis Olusoji Mamuda, Abdul Rahman Alhaji Abubakar, Muhammad Kabir Adamu, Kabir Musa Muhammad, Shamsuddeen Bello, Bashir J West Afr Coll Surg Original Article INTRODUCTION: Neck of femur fractures in the elderly population are common and often a devastating condition. The optimal treatment has been a subject of debate. Arthroplasty has been shown to be the most viable treatment option. The high cost of total hip replacement makes hemiarthroplasty a suitable option in our environment. MATERIALS AND METHODS: This study was designed to measure the outcome of hemiarthroplasty after femoral neck fracture using Harris hip score in patients aged 60 and above at the National Orthopaedic Hospital, Dala, Kano, Nigeria. RESULTS: Twenty-five consecutive patients 60 years and above with femoral neck fracture who met the inclusion criteria and gave consent were enrolled into the study. The mean Harris hip score at the pre-operative period was 16.92. Fourth week after the surgery, the mean Harris hip score was 69.96. The score rose further to 75.24 and 80.96 at 12 weeks and 6 months post-operatively. The difference between the mean pre-operative and post-operative scores at 4th week, 12th week, and 6th month was statistically significant. During the pre-operative period, all patients had a poor Harris hip score grade. Six months after the surgery, 7 patients (28%) had an excellent Harris hip score grade, 12 patients (48%) had good grades, and 1 patient (4%) had a fair Harris hip score grade. Five patients (20%) had a poor Harris hip score grade at 6 months. CONCLUSION: From the findings of this study, it can be concluded that early functional outcomes of hemiarthroplasty for femoral neck fracture in the elderly are good and satisfactory. Wolters Kluwer - Medknow 2022 2022-08-27 /pmc/articles/PMC9536403/ /pubmed/36213807 http://dx.doi.org/10.4103/jwas.jwas_109_22 Text en Copyright: © 2022 Journal of the West African College of Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Chiroma, Muhammad Musa
Ibrahim, Mustapha Usman
Salihu, Muhammed Nuhu
Awonusi, Francis Olusoji
Mamuda, Abdul Rahman Alhaji
Abubakar, Muhammad Kabir
Adamu, Kabir Musa
Muhammad, Shamsuddeen
Bello, Bashir
Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience
title Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience
title_full Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience
title_fullStr Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience
title_full_unstemmed Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience
title_short Early Functional Outcome of Hemiarthroplasty in the Elderly with Neck of Femur Fracture: A Single Centre's Experience
title_sort early functional outcome of hemiarthroplasty in the elderly with neck of femur fracture: a single centre's experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536403/
https://www.ncbi.nlm.nih.gov/pubmed/36213807
http://dx.doi.org/10.4103/jwas.jwas_109_22
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