The Unsolved Fracture Treatment Options, Radiological and Functional Outcome comparison in Fracture Neck of Femur in Elderly Population

Authors

  • Devesh Bandil Assistant Professor, Department of Orthopaedics, GRMC, Gwalior, Madhya Pradesh, India
  • Tarun Naugraiya Resident, Department of Orthopaedics, GRMC, Gwalior, Madhya Pradesh, India
  • Yogeshwar Jamre Resident, Department of Orthopaedics, GRMC, Gwalior, Madhya Pradesh, India
  • Vivek Singh Dhakad Resident, Department of Orthopaedics, GRMC, Gwalior, Madhya Pradesh, India

Keywords:

Radiological,functional,fracture

Abstract

The fracture neck of femur has posed a great challenge to the orthopaedic surgeons since a long time. In spite of so many methods and procedures which have been tried to overcome this mishap, it still lives up to its disrepute of being the “unsolved fracture”, as far as treatment and results are concerned. This study has been done retrospectively in the Department of Orthopaedics and Trauma Centre in J. A. Group of Hospitals, Gwalior (M. P.) patients with intracapsular fracture neck of femur, in Age Group >60 years with no other significant medical or surgical comorbidities .Our study concluded that The present study showed that total hip arthroplasty compared to internal fixation and hemiarthroplasty for the treatment of femoral neck fractures significantly reduces the risk of reoperation at the cost of higher blood loss and increased surgical time . though the incidence of other complication were at par what was given in literature , hemiarthroplasty was not a good surgery for patients who have a longer life expectancy. Because With the increasing time after surgery, there was an increasing proportion of patients with painful hip. and prosthetic protrusion and subsequent revision to THA.. Furthermore postoperative function as evaluated by the Harris hip score was significantly higher in the total hip arthroplasty compared to the internal fixation and hemiarthroplasty group ,up to two year of evaluation. The findings suggest that in the THA group, good functional outcome like early rehabilitation, better function and clinical results and reduced incidence of complications and good patient compliance so total hip arthroplasty might be a better choice than internal fixation and hemiarthroplasty in treating elderly patients with a femoral neck fracture.

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Published

2021-10-01

How to Cite

Devesh Bandil, Tarun Naugraiya, Yogeshwar Jamre, & Vivek Singh Dhakad. (2021). The Unsolved Fracture Treatment Options, Radiological and Functional Outcome comparison in Fracture Neck of Femur in Elderly Population. International Journal of Health and Clinical Research, 4(17), 217–221. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/2814