Long term results of uncemented hemi replacement fracture neck of femur in Indian context

Abstract

Being human gives us the unique ability to walk on two limbs. Hip joint is responsible for this ability; neck of femur is an essential component of this joint, which is at high risk of being fractured specially in elderly persons. In developing country like India operation and prosthesis need to be cost effective and efficacious to improve quality of life in post op period. Uncemented Hemi arthroplasty is most promising treatment modality in Indian context as per our study. In our study 60 patients treated b hemiarthroplasty by using A.M. prosthesis and followed up for a period ranging from two(2) month to eight &half (8.5) years.Maximum fracture neck femur were in 60-69age group (53%) followed by 50-59&70-79 years (20%) each.In our study maximum excellent result were about 85%, with Harris Hip Score of 80% no poor result.In long follow up period no major problem detected except for moderate pain in about 10% cases and limb discrepancy of about 1 inch in 120* about 20% which was > enough for functional ambulation.Most of patients were of remote areas despite advise not to squat avoided by them and no any major complication was noted in our study.