Fracture neck of femur in elderly patients- fixation with hemiarthroplasty by posterior approach and complications

Abstract

The optimal approach for hemiarthroplasty is hotly debated. We analysed 60 consecutive elderly patients who underwent hemiarthroplasty. Patients were analysed for all complications, during and after surgery with special emphasis on incidence of dislocation. The results were gratifying and were comparable with major series of hemiarthroplasty via the posterior approach. 3 patients had a dislocation. 57 patients (95%) had no or minimal pain after the surgery. There were no major intra-operative complications and mean harris hip score was 86.5 at one year follow-up. We conclude that the posterior approach, already known to cause less blood loss is safe due to less intra operative and post operative complication.