Original Articles
Comparative prospective analysis of functional outcomes in displaced neck of femur fractures among the elderly: uncemented hemiarthroplasty versus total hip arthroplast | |
Dr. Anand Shrivastav, Dr. Saurabh Saxena, Dr. Naren Khatri, Dr. Imran Khan | |
Background: Displaced neck of femur fractures inside the aged populace represent a good sized medical project. two primary surgical alternatives—hemiarthroplasty (HA) and overall hip arthroplasty (THA)—are normally employed, each with wonderful benefits and capability complications. even as hemiarthroplasty is technically less difficult and associated with reduced operative time, overall hip arthroplasty offers better lengthy-time period results in selected sufferers but can also deliver a higher risk of dislocation. Methods: A potential, observational look at changed into carried out on 30 elderly sufferers (≥60 years) with acute, displaced neck of femur fractures (<2 weeks vintage). patients had been treated either with the aid of uncemented modular bipolar hemiarthroplasty (HRA) or uncemented THA. Operative details, intraoperative blood loss, and postoperative headaches had been documented. purposeful results were evaluated the use of the Harris Hip score (HHS) at everyday periods up to 6 months. Statistical comparisons between businesses have been accomplished the use of appropriate checks (p<0.05 considered widespread). Results: A number of the have a look at members (imply age 72.7 ± 7.8 years), 17 underwent HRA and thirteen underwent THA. imply operative time turned into significantly higher in the THA organization (91.three vs. 59.7 minutes; p<0.001). average blood loss additionally extensively differed (THA: 490 ml vs. HRA: 323.five ml; p<0.001). each companies confirmed favorable functional healing at 6 months, with a majority of patients achieving excellent or right Harris Hip rankings. overall complications have been low, though the THA institution had one case of postoperative dislocation and one mortality, whilst the HRA institution said a single example of superficial strain sore. Conclusion: both uncemented hemiarthroplasty and THA offer great functional outcomes in displaced neck of femur fractures within the aged. THA requires longer operative time and is related to better blood loss and a doubtlessly greater threat of headaches, but might also offer advanced mobility in pick out sufferers. |
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