TO STUDY THE FUNCTIONAL OUTCOME OF ELDERLY PATIENTS HAVING INTERTROCHANTERIC FEMUR FRACTURE TREATED WITH HEMIARTHROPLASTY

Abstract

Background Among proximal femoral fractures, displaced femoral neck fractures (FNFs) are the most common (37% frequency), while two-thirds of total FNFs are displaced fractures. Fractures of Hip are one of the commonest injuries sustained by the aged. These occur predominantly in patients over 60 years of age. Morbidity and mortality increases with age. Over the years, osteosynthesis has been indicated as the preferable treatment for stable intertrochanteric fractures and has shown promising results, but high rate of mortality render this option impractical in unstable intertrochanteric fracture cases. As a result, role of primary hemiarthroplasty in intertrochanteric femur fractures emerged as a valid choice for treatment of unstable intertrochanteric fractures and has shown promising results with fewer complications. Hence the present study was done to analyze the role of primary hemiarthroplasty and the functional outcomes in cases of intertrochanteric femur fractures using Harris Hip Score. A prospective observational stud Methods y was done on 25 patients with intertrochanteric fractures treated with hemiarthroplasty. Patients with age more than 65 years, consent to participate and follow up in post-operative rehabilitation were included. There were 20 females and 5 males with an average age of 77.5 years. After proper assessment, patients were treated using direct lateral approach for hip with monopolar or modular bipolar hemiarthroplasty. All patients were assessed by Harris Hip score. These scores were used as an outcome measure of functional recovery in activities of daily living (ADLs). The mean VAS Score at discharge was 5.15±2. Results 26 which improved signicantly at post-op 1 month (3.52±0.86) and post-op 3 months (2.56±0.57). The difference in VAS score during follow-up period was statistically signicant as per ANOVA test (p<0.05). The functional daily activities in patients were measured by Harris Hip Score. The mean Harris Hip Score at discharge was 65.88±8.65 which improved signicantly at post-op 1 month (72.68±4.57) and post-op 3 months (76.88±5.54). The difference in Harris Hip Score during follow-up period was statistically signicant as per ANOVA test (p<0.05).