Study of Primary Cemented Total Hip Arthroplasty in Fracture Neck Femur

Introduction The operative treatment of a displaced sub capital fracture in elderly is also controversial. The dilemma is whether to reduce the fracture and use internal fixation or to perform a total or partial hip replacement arthroplasty. Young patients should be treated by internal fixation and very old less healthy patients by hemiarthroplasty, which is agreed upon by most authors, there remains a group in between where both these option have their advocates. Material & Methods 60 hips were included in this study with cemented prosthesis in 45 patients with a fracture of the femoral neck above the age of 60 years who came for regular follow up till 1 year. Detailed clinical and radiological examination with other relevant investigations was carried out in all patients in orthopaedic emergency/ OPD. The clinical assessment involved a detailed history. The salient questions asked were time of injury, mode of injury, pre-injury activity status, any previous hip pathology/pain. Results & Conclusion All patients were preoperative mobile independently enjoying unrestricted activity Excellent results were obtained in 38 %, good results in 53 % and fair results in 9 %. None of the patients had a poor result.91 % of the patients were pain free and independently mobile at the last follow up. No acetabular or femoral component loosening / migration were seen. This was attributed to proper cementing technique. Cemented THA is a very useful procedure for the primary treatment of femoral neck fractures in elderly. This procedure markedly improves the functional status of the patient in terms of early mobilization, avoiding the complications of prolonged immobilization