scholarly journals To compare and analyze the functional outcome seen after hemiarthroplasty with uncemented Austin Moore’s prosthesis and non-cemented non-modular bipolar prosthesis in all displaced intracapsular femur neck fractures in elderly patients using the Harris Hip score in rural population

2018 ◽  
Vol 4 (4) ◽  
pp. 605-608
Author(s):  
Vijay Chandru ◽  
Ravikiran HG ◽  
Sumith Raj
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Rural Population ◽  
Harris Hip Score ◽  
Bipolar Prosthesis ◽  
Femur Neck ◽  
Femur Neck Fractures

scholarly journals Study of functional outcome of total hip arthroplasty in a series of cases of hip pathologies done in rural population

2016 ◽  
Vol 2 (4) ◽  
pp. 269
Author(s):  
Rahul Kadam ◽  
Pankaj Bansal ◽  
Abhay Chhallani
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Rural Population ◽  
Harris Hip Score ◽  
Controlled Study ◽  
Walking Ability ◽  
Total Hip ◽  
Medical College

<p class="abstract"><strong>Background:</strong> The objective of the study was to assess the functional outcome of total hip arthroplasty (THA) done in a series of cases of hip pathologies rural population.</p><p class="abstract"><strong>Methods:</strong> A retrospective randomized controlled study conducted in 50 cases of hip arthritis (38 males and 12 females)  treated with uncemented THA for an average follow-up of  2 years  at department of orthopedics MGM Medical College, Kamothe, Navi Mumbai. Harris hip scoring system was used for the functional scoring and the postoperative radiographs were assessed by Gruen zones for the femoral component and DeLee and Charnley zones for the acetabular component. All patients were evaluated pre operatively and post operatively 3 months 6 months, 12months, 2years with Harris Hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 81% of our patients scored 85 points or better for a rating of excellent by Harris hip score system. 90% patients had little /no pain post operatively, whereas walking ability improved and was unlimited in 80% of the patients post operatively. Harris hip score improved from 40 to 80. 80.5% -excellent, 13.80% -good, 5.7% -fair results. Poor results were not seen in any patient.</p><p class="abstract"><strong>Conclusions:</strong> THR provided excellent pain relief, adequate stability, and remarkable range of motion in severely painful, refractory hip. A significant improvement was seen at two year follow-up. </p>

scholarly journals Assessment of functional outcome of operative management of displaced acetabular fractures and complications

2021 ◽  
Vol 7 (6) ◽  
pp. 1145
Author(s):  
Jawed A. Bhat ◽  
Tabasum Akbar ◽  
Abdul Hanan Javaid ◽  
Faizan Javaid ◽  
Faesal Mir ◽  
...  
Keyword(s):  
Sciatic Nerve ◽  
Elderly Patients ◽  
Functional Outcome ◽  
Nerve Injury ◽  
Avascular Necrosis ◽  
Operative Management ◽  
Harris Hip Score ◽  
Acetabular Fractures ◽  
Operative Complications ◽  
Morbid Conditions

<p><strong>Background:</strong> Aim of the study was to assess the functional outcome of operative management of displaced acetabular fractures and complications.</p><p><strong>Methods:</strong> The study included sixty patients presenting within 2 weeks with displaced fractures of more than 2 mm. Elderly patients with osteoporotic bones and co-morbid conditions were excluded.</p><p><strong>Results: </strong>A total of sixty patients were operated on. Union was achieved in anatomical position in 51 patients (85%) and in malposition in 9 (15%) patients. Excellent results were obtained in 15 (25%) patients, good results in 32 (53%), fair results in 7 (11.6%) and poor results in 6 (10%) patients. Post operative complications included infection in 2 (3%), sciatic nerve injury in 2 (3%) and avascular necrosis (AVN) in 3 (5%) patients.</p><p><strong>Conclusions:</strong> In the present study, majority of the patients were operated within two weeks. The Harris hip score averaged 58.</p>

scholarly journals Outcome of external fixator in the treatment of intertrochanteric fracture in elderly patients with co-morbidities

2019 ◽  
Vol 7 (1) ◽  
pp. 3-7
Author(s):  
Deepak Kumar Dutta ◽  
R, Sinha
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
External Fixator ◽  
Intertrochanteric Fracture ◽  
Harris Hip Score ◽  
External Fixators ◽  
Intertrochanteric Fractures ◽  
Early Ambulation ◽  
Medical Comorbidities ◽  
Mean Time

Background and Objectives: Incidence of intertrochanteric fracture is rising because of increasing number of elderly. They tend to have many comorbidities of different systems; therefore, major surgeries are not possible at times. In these patients, external fixator can be an option as it promotes early ambulation, thereby preventing recumbency-associated complications. Material and Methods: Elderly patients of interetrochanteric fracture and with medical comorbidities were managed with external fixator. Functional outcome was measured by Harris Hip Score (HHS) on first post-operative day and in follow ups on 4, 12, and 24 weeks. Results: Thrity patients (19 males, 11 females), of mean age 77.63 years (SD=9.06) were studied. HHS scores steadily increased from 37.6±5.28 on the first post-operative dayto 49.43±6.9 on 4 weeks, 59.83±7.17 on 12 weeks, and 72.47±4.17 on 24 weeks. The changes were all very highly significant (all p=0.000). Mean time taken to union was 14.67±2.28 weeks. None of the patients had recumbency-related complications. Conclusion: External fixators for intertrochanteric fractures in medically comorbid elderly patientsis effective in promoting ambulation and preventing recumbency-related complications.

scholarly journals Prospective study of the functional outcome of uncemented bipolar hemiarhroplasty in displaced fracture neck of femur in elderly

2020 ◽  
Vol 6 (3) ◽  
pp. 567
Author(s):  
Radhakrishna A. Mallegowda ◽  
Channappa T. Seetharam ◽  
Shivanand Sundaram ◽  
Jayaram B. Siddegowda ◽  
Veeresh Nijalingappa
Keyword(s):  
Functional Outcome ◽  
Early Mobilization ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Bipolar Prosthesis ◽  
Fracture Neck Of Femur ◽  
Excess Morbidity ◽  
Predominantly Female ◽  
Displaced Fracture

<p class="abstract"><strong>Background:</strong> Hip fractures in older patients are associated with impaired mobility, excess morbidity, mortality and loss of independence. To avoid the drawbacks of internal fixation and for early mobilization, hemiarthroplasty is performed in elderly. The bipolar prosthesis was developed to overcome the shortcomings of the unipolar fixed-head prosthesis. An additional site of motion would be expected to decrease the amount of loosening, dislocation, and head migration. The aim of the study is to assess the functional outcome of the patients with fracture neck of femur treated with bipolar hemiarthroplasty.</p><p class="abstract"><strong>Methods:</strong> In this study, 20 patients above the age of 60 years with acute displaced fracture neck of femur underwent hemireplacement arthroplasty with bipolar prosthesis in Department of Orthopaedics, KIMS, Bangalore. The patients were followed up on 6th, 12th, 18th, 24th week post operatively. Functional outcome was assessed with Harris hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study, mean average age was 72.3 years with predominantly female patients with 75% of the patients with left sided fracture. 95% of the patients had slight or no pain, 85% of patients had slight or no limp. 50% of the patients could walk without support, 65% of the patients could walk a distance of 6 blocks or more. Average Harris hip score was 82%.</p><p class="abstract"><strong>Conclusions:</strong> These results suggest functional outcome following bipolar hemiarthroplasty is good. Early mobilisation, pain free hip and with good level of activity is obtained following bipolar hemiarthroplasty.</p>

scholarly journals Evaluation of functional outcome of displaced fracture neck of femur in elderly treated with cemented bipolar prosthesis by modified Harris hip score

2021 ◽  
Vol 7 (3) ◽  
pp. 561
Author(s):  
Shivakumar B. Kerakkanavar ◽  
Deepak P. Kaladagi ◽  
Nagesh B. Sanakal ◽  
Pundaleekappa S. Kaladagi ◽  
Praveenkumar A. Hongal
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Hip Prosthesis ◽  
Limb Lengthening ◽  
Harris Hip Score ◽  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Femur Fractures ◽  
Modified Harris Hip Score ◽  
Displaced Fracture

<p><strong>Background: </strong>The current research was conducted to determine the functional outcome of the displaced fracture neck of femur in elderly patients treated with cemented bipolar hip prosthesis.</p><p><strong>Methods:</strong> The present research was a prospective study of 44 cases of displaced fracture neck of femur admitted to our institute between October 2017 and October 2019. Cases were chosen on the basis of inclusion and exclusion criteria. Cases were surgically treated with cemented bipolar hip hemiarthroplasty and functional findings were recorded with modified Harris hip score.</p><p><strong>Results:</strong> In our series of 44 cases there were 30 females and 14 males, with a maximum age of 92 years, minimum age of 65 years, and the average age was 72.72 years. At one-year follow-up, the average modified Harris hip score was 86.75% (maximum score of 95 and a minimum score of 66), overall, 20 patients (45.46%) achieved excellent, 16 patients (36.36%) achieved good, 5 patients (11.36%) achieved fair and 3 patients (6.82%) achieved poor results. 81.82% of the patients returned to the pre-fracture level of activity and independent ambulation. Patients had few complications like limb length discrepancy, 36.3% of patients had limb lengthening between 1 to 1.5 cm.</p><p><strong>Conclusions:  </strong>In<strong> </strong>elderly patients with displaced neck femur fractures, cemented bipolar hip prosthesis provides good functional outcome<strong>.</strong> However further study for a longer period in a larger sample with a direct comparison between the cemented versus uncemented groups is required.</p>

scholarly journals Outcome of dynamic hip screw with trochanteric stabilizing plate in treatment of unstable intertrochanteric femoral fractures in elderly patients.

2021 ◽  
Vol 29 (01) ◽  
pp. 31-35
Author(s):  
Muhammad Asif ◽  
Yaqoob ur Rehman ◽  
Sardar Sohail Afsar
Keyword(s):  
Elderly Patients ◽  
Functional Outcome ◽  
Femoral Fractures ◽  
Trochanteric Fracture ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Trochanteric Fractures ◽  
Poor Functional Outcome ◽  
Hip Screw ◽  
Study Setting

Objective: To know about the outcome of dynamic hip screw with trochanteric stabilizing plate in treatment of unstable inter-trochanteric femoral fractures in elderly patients.  Study Design: Descriptive study. Setting: Maqsood Medical Complex, Pak Medical Centre and Habib Medical Complex. Period: August 2016 to July 2018. Material & Methods: Total of 70 patients with unstable inter-trochanteric fracture and age above 60 years were included in the study. The fracture was fixed with dynamic hip screw and trochanteric stabilizing plate. Patients were evaluated every month after surgery for healing of fracture. Final functional outcome was measured at 6 months after surgery with Harris Hip Score. Results: Out of 70 patients 44 (63%) were females and 26 (37%) were males. Mean age was 74.34(SD + 08.31) years with range of 60 to 87 years. Mean Harris Hip Score at 6 months was 85% with standard deviation of± 4.Ten (14%) patients had excellent, 40 (58%) patients had good, 16 (23%) patients fair and 4 (5%) patients poor functional outcome. Conclusion: Excellent and good functional outcome can be achieved in unstable inter-trochanteric fractures fixed with dynamic hip screw and trochanteric stabilizing plate in majority of patients.

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