Fracture neck of femur in elderly patients-fixation with hemiarthroplasty by anterior approach and outcome

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. The results were gratifying and were comparable with major series of hemiarthroplasty via the anterior approach. No patient had a post of hip dislocation. 57 patients (95%) had no or minimal pain after the surgery. There were no major intra-operative complications and mean Harris hip score was 86 at one-year follow-up. We conclude that the anterior approach, already known to cause less post op dislocation is safe due to less intra operative and post-operative complication.