Key result
In elderly patients with intracapsular fracture neck of femur, hemiarthroplasty with Austin Moore prosthesis yielded excellent or good functional outcomes in 73.4% of patients at 6 months.
Why the study?
Neck of femur fractures are common in the elderly and hemiarthroplasty can be performed with unipolar or bipolar prosthesis, but outcomes of unipolar prosthesis required evaluation.
Does primary hemireplacement arthroplasty using Austin Moore prosthesis improve functional outcomes in elderly patients with intracapsular fracture neck of femur?
Observational (n=30)
No
Does primary hemireplacement arthroplasty using Austin Moore prosthesis improve functional outcomes in elderly patients with intracapsular fracture neck of femur?
Austin Moore prosthesis provides satisfactory early functional outcomes with low complication rates for intracapsular fracture neck of femur in elderly patients.
May support Austin Moore hemiarthroplasty in elderly femoral neck fractures; leaves open need for RCTs versus modern implants.
Background: In elderly people neck of femur fractures are common. For which hemiarthroplasty is most popular surgery doing by an orthopaedic surgeon. Usually hemiarthroplasty can perform either with unipolar or bipolar prosthesis. Purpose: The aim of this study is to know the outcome of unipolar prosthesis in elderly patients presented with fracture neck of femur.Materials and Methods: From October 2014 to October 2016, 30 patients aged above 60 years who were admitted in the department of orthopaedics in R.L Jalappa Hospital, kolar were included. Functional outcome were assessed with Harish Hip Score.Results: The study included 53% females and 47% males. 47% were in the age group of 70-79, followed by 43%, 10% were 60 to 69 years and 80-89 years age groups respectively. Left sided hip fracture was 57% which is more than Right sided hip fracture 43%. Fracture was classified as per Garden classification, Type IV were 14, Type III 12 and Type II 4. Most commonly used prosthesis size was 47 ranged from 39 to 49.After 6 months follow-up outcome analyzed by Harris hip score and found to be Excellent 47%, Good 27%, fair 20% and poor in 6.6%. 13% of the study subjects had complication like superficial infections and bed sore which was treated with regular dressings and antibiotics.Conclusion: Austin Moore prosthesis gives a better function, safe operation, lesser pain and improved gait function outcome even in elderly with significant medical problems.
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Rahaman et al. (2019) conducted an observational in Intracapsular fracture neck of femur (n=30). Austin Moore prosthesis (unipolar hemiarthroplasty) was evaluated on Functional outcome assessed by Harris Hip Score at 6 months. In elderly patients with intracapsular fracture neck of femur, hemiarthroplasty with Austin Moore prosthesis yielded excellent or good functional outcomes in 73.4% of patients at 6 months.
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