Key result
Uncemented Austin Moore prosthesis showed no statistically significant difference in functional outcome compared to cemented bipolar prosthesis for the management of femoral neck fractures at 24 months.
Why the study?
Does uncemented Austin Moore prosthesis improve functional outcome compared to cemented bipolar prosthesis in patients with fracture neck of femur?
Cohort (n=60)
No
Does uncemented Austin Moore prosthesis improve functional outcome compared to cemented bipolar prosthesis in patients with fracture neck of femur?
Absolute Event Rate: 90.67% vs 89.07%
p-value: p=0.525
No significant difference observed; leaves open optimal prosthesis selection in femoral neck fractures pending randomized data.
Femoral neck fractures, one of the most common injuries constitute 50% of hip fractures. The incidence of these fractures has increased with improvement in life expectancy and is expected to double in the next 20 years and triple by 20501. Fracture neck of femur occurs predominantly in the elderly; typically result from low energy falls and in young individuals due to high energy mechanisms. In elderly population these fractures are more common in females when compared to males especially in age group of 60 and above. The goal of treatment of femoral neck fractures is restoration of pre-fracture function without associated morbidities. Hemiarthroplasty is the most common treatment for displaced fractures of femoral neck in elderly and is associated with better functional outcome and fewer reoperations than internal fixation
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Alekhya et al. (2020) conducted a cohort in Fracture neck of femur (n=60). Uncemented Austin Moore prosthesis vs. Cemented bipolar prosthesis was evaluated on Harris Hip Score at 24 months (p=0.525). Uncemented Austin Moore prosthesis showed no statistically significant difference in functional outcome compared to cemented bipolar prosthesis for the management of femoral neck fractures at 24 months.
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