Two years outcome of cemented Austin Moore hemiarthroplasty for fracture neck femur

Shekhar, Anshu; Murgod, Gururaj; Korlhalli, Suresh

doi:10.9790/0853-1161015

Cited by 3 publications

(3 citation statements)

References 36 publications

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“…Most of the studies show a dominance of females which can be linked to high prevalence of osteoporosis among elderly women and hence susceptibility to fractures, particularly proximal femur fractures. [11][12][13][14][15][16] As far as age profile is concerned, the mean age reported by different studies ranges from years 17 to as high as 83.7 years 12 . Mean age of patients in present study is close to that reported by Daniel et al 13 and Deo et al 18 who reported the mean age as 69.7 and 70.5 years in their studies.…”

Section: Discussionmentioning

confidence: 99%

“…Difference in mean age of patients in different studies might be attributable to the inclusion criteria chosen by them and definition of elderly taken in different studies. For example Shekhar et al 12 in their study included all the patients above 70 years of age, however, Daniel et al 13 and Deo et al 18 included patients aged 60 years of above in their study. In present study though, we included the patients who were aged 65 years or more, however, the mean age was comparable to the studies that took 60 years or above as the criteria for inclusion.…”

Section: Discussionmentioning

confidence: 99%

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Management of fracture neck of femur in elderly patients with hemireplacement arthroplasty with austin moore prosthesis at tertiary care centre

Saini

Lal

Kumar

et al. 2022

ijhs

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Background: The incidence of fracture neck of femur in younger patients is very low and is associated mainly with high-energy trauma. The medical cost of these injuries, in the elderly age group, is higher compared to younger age group due to associated co-morbidities leading to an increased in-hospital stay and increased duration of post op care. Therefore, the present study has been taken up to evaluate the outcome of management of elderly geriatric individuals with Austin Moore prosthesis and the role of the prosthesis in present day orthopedic care in country in patients with multiple comorbidities and those who are home ambulant with limited activities at a large Orthopaedic centre. Materials & Methods: This is a descriptive study done on30 cases regarding intra-op complications and functional outcome in the elderly patients who have undergone hemiarthroplasty with Austin Moore prosthesis at Department of Orthopedics, Base Hospital Lucknow from July 2016 to Dec 2017 (18 months). Follow up of patients was done at 6 weeks, 12 weeks, 24 weeks and at one year following surgery and earlier in case of any complication. Functional Outcome was noted in terms of Modified Harris hip score at 6 weeks, 3 months and 6 months.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of fracture neck of femur in elderly patients with hemireplacement arthroplasty with austin moore prosthesis at tertiary care centre

Saini

Lal

Kumar

et al. 2022

ijhs

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“…(3) Among joint replacement options, hemiarthroplasty has less operative time and less blood loss. (3,4) Hemi arthroplasty is a procedure in which the neck and the head are replaced by unipolar (in which the stem is fixed to the head) or by bipolar prosthesis (in which there is a polyethylene bearing between the head and the stem so it offers modularity). The old design of hemiarthroplasty is a unipolar prosthesis , such as Austin Moore's and Thompson's stems, this design did not offer range of motion between the head and the stem so it has less range of motion and more dislocation rate.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Hemiarthroplasty for Neck of Femur Fracture of Elderly (Bipolar, Austin Moore, Cemented Thompson)

Alshawabkeh¹,

Al-Zaben²,

Jbarat³

2016

JRMS

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Objective: This study was conducted to compare the hemiarthroplasties options in patients with neck of femur fractures with regards to the mortality rate and the functional outcomes. Methods: A group of 153 elderly patients had been analyzed retrospectively, and these patients underwent 154 hemi arthroplastic surgeries for the hip joint due to neck of femur fractures between Jan 2012 and Jan 2014 (122 female, 31 male) at three hospitals; Prince Hashem bin Hussein Hospital, Prince Rasheed bin Hassan Hospital and the Royal Rehabilitation Center. All the surgeons used a direct lateral approach. The clinical records abstract form was designed to collect our study data which includes two important points; 1. The mortality and morbidity rates of the hemiarthroplasties surgeries. 2. The functional outcome of the bipolar prosthesis in comparison with the unipolar prosthesis using the Modified Harris Hip Score. Results: The overall operative mortality rate of this study was 15%, and the mortality rate at 6 months was 44%. But the bipolar prosthesis had a 12% operative mortality rate and 30% mortality rate after 6 months of surgery. This result is statistically significant. This research showed that the patients with bipolar prosthesis have had superior hip function during the follow up and they have had better pain scores than the patients with unipolar prosthesis. Conclusion: There was a difference in mortality rate in favor of bipolar prosthesis. Of the 52 patients who have been evaluated for up to 2 years it was found that there is a difference in functional out come in favor of bipolar prosthesis .

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Unipolar Versus Bipolar Hemiarthroplasty in Elderly Patients With Fracture Neck of Femur

Gupta

Patel

Jha

et al. 2023

Global Journal for Research Analysis

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Background/Purpose: Hemiarthroplasty is the treatment of choice n neck of femur fractures in elderly patients. Unipolar and bipolar prostheses have their own advantages and disadvantages, creating confusion in which prothesis to use. 40 elderly patients (>65 years age) with intracaps Methods: ular neck of femur fractures were included and randomly divided equally in this study, 20 patients were treated with unipolar hemiarthroplasty and 20 patients with bipolar hemiarthroplasty. All patients were evaluated for functional outcome by using Harris Hip score and radiological outcomes using various parameters. The outcomes of both groups were then compared using Chi-square test. Results: Overall mean Harris hip score pre operatively for unipolar hemiarthroplasty was 36.2 and bipolar hemiarthroplasty was 39.1 which increased to 81.8 for unipolar and 85.05 for bipolar hemiarthroplasty respectively, with p-value of <0.561. Our results also shows that we have 35% excellent result in Bipolar whereas we have 15% excellent result in unipolar Hemiarthroplasty group. The results of our study shows that uncemented bipolar hemiarthroplasty Conclusion: gave better results when compared with uncemented unipolar hemiartheoplasty. Our results also shows that, cemented bipolar hemiarthroplasty gave better results when compared with cemented unipolar hemiarthroplasty clinically and radiologically. Thus, Bipolar hemiarthroplasty did better when compared with unipolar hemiarthroplasty in general

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Two years outcome of cemented Austin Moore hemiarthroplasty for fracture neck femur

Cited by 3 publications

References 36 publications

Management of fracture neck of femur in elderly patients with hemireplacement arthroplasty with austin moore prosthesis at tertiary care centre

Management of fracture neck of femur in elderly patients with hemireplacement arthroplasty with austin moore prosthesis at tertiary care centre

A Comparative Study of Hemiarthroplasty for Neck of Femur Fracture of Elderly (Bipolar, Austin Moore, Cemented Thompson)

Unipolar Versus Bipolar Hemiarthroplasty in Elderly Patients With Fracture Neck of Femur

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