STUDY OF FUNCTIONAL OUTCOME OF TOTAL HIP REPLACEMENT VERSUS HEMIARTHROPLASTY IN FRACTURE NECK OF FEMUR

Pradeep Choudhari; Mohit Mahoviya; Deepesh Mehta; Manish Patidar

doi:10.21474/IJAR01/16584

23 Mar 2023 Vol. 11 (03) pp. 1413-1420 DOI: 10.21474/IJAR01/16584

STUDY OF FUNCTIONAL OUTCOME OF TOTAL HIP REPLACEMENT VERSUS HEMIARTHROPLASTY IN FRACTURE NECK OF FEMUR

Pradeep Choudhari, Mohit Mahoviya, Deepesh Mehta and Manish Patidar

Professor and HOD, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
Assistant Professor, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
PG Resident, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
PG Resident, Department of Orthopaedics, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.

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Abstract

Introduction:Inelderlywithdisplacedfemoral neck fractures(FNFs),choicebetweenhemiarthroplastyandTHRhasalwaysbeenadifficultone,boththetreatmentmodalitieshavingtheirownproponents.Hemiarthroplastyisalesscomplexsurgeryandhasbeenassociatedwithreducedcomplications andlowerinitialcosts while THRontheotherhandhasbeenassociatedwithbetterpostoperativefunction.

MaterialandMethods:Thisstudy wasconductedonpatientswithdisplacedFNFswithagemorethan65years,operatedeitherwithTHRorhemiarthroplastyon40patients(20ineachgroup).SouthernMooreapproachwasusedforexposureofthehipjoint.Thefollowupwasdoneat1,3and6monthsduringwhichfunctionalassessmentwasdoneusingHarrisHipScore(HHP)andassociatedcomplicationswerealsoanalyzed.

Results:ThemeanHHPwashigherinTHRgroupthroughoutthestudyperiodbutitwasnotstatisticallysignificant.ThecomplicationsinhemiarthroplastyGroupwereInfectionin10%,PulmonaryEmbolismin5%ofpatients.ThecomplicationsinTHRGroupwereInfectionin5%,LLDin15%,Dislocationin5%ofpatients.

Conclusion:THRprovestobesuperiorintermsofhigherincreaseinHHP.DislocationratesandLimblengthdiscrepancieswerehigherintheTHRgroupbutcanbepreventedwithadequatemeasureswhilethe other complicationswerecomparableinboththegroups.THRshouldbepreferredmethodofmanagementofdisplacedFNFsinactiveelderlypatientswithacceptableratesofcomplications.

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How to Cite This Article

Pradeep Choudhari, Mohit Mahoviya, Deepesh Mehta and Manish Patidar (2023); STUDY OF FUNCTIONAL OUTCOME OF TOTAL HIP REPLACEMENT VERSUS HEMIARTHROPLASTY IN FRACTURE NECK OF FEMUR, International Journal of Advanced Research (IJAR), 11 (03), 1413-1420, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/16584