A Functional Outcomes of Hip Joint After Primary Cemented Total Hip Replacement for Fracture Neck of Femur

Abstract

Background: Femur neck fractures are serious injuries in elderly people having high morbidity and   significant impact on  daily living. These are often linked to low energy trauma because of osteoporosis. A lot of surgical options are available to treat these fractures. However Total Hip Arthroplasty (THA) is gaining popularity because of increasing mobility and excellent  functional outcomes.

Objective: To evaluate the clinical and functional outcomes of cemented total hip Arthroplasty in elderly people with Intracapsular femoral neck fractures.

Methods: This prospective study was conducted on 30 elderly patients with age in between 60–90 years who presented  with displaced intracapsular  femur neck fractures.  All these patients underwent   primary cemented Total Hip Arthroplasty ( THA ). Each patient was followed for one year ,at 3-month intervals. Clinically the pain was assessed by using the Visual Analogue Scale (VAS), and functional status was evaluated by  Harris Hip Score (HHS).

Results:  Good to excellent" outcomes were achieved in the majority of cases by the end of one year at  final follow-up.The mean Harris Hip Scores showed significant improvement over time. Postoperative scores typically  was 78.02+-3.03 by the end of one year. There was also significant reduction in Visual Analogue Score (VAS),dropping from preoperative levels to 2-3 after one year.

Conclusion: Cemented Total Hip Replacement (THR) is an excellent and effective choice for fracture neck of femur  in elderly people. The pain relief was excellent and there was significant functional improvement with immediate stability and early weight bearing, making it a superior option in  elderly population with intracapsular fracture neck of Femur.