Trends in managing femoral neck fractures with arthroplasty in the ≥ 50 years age group | [Pakistan Journal of Medical Sciences • 2024]

Author(s):

1. Syed Imran Bukhari: Department of Trauma & Orthopedics, Lady Reading Hospital, Peshawar, Pakistan

2. Noman Ali: Department of Trauma & Orthopedics, Lady Reading Hospital, Peshawar, Pakistan

3. Saleem Ullah: Department of Trauma & Orthopedics, Lady Reading Hospital, Peshawar, Pakistan

4. Mian Asad Ullah: Department of Trauma & Orthopedics, Lady Reading Hospital, Peshawar, Pakistan

Abstract:

Objective: To know about the trends in the management of neck of femur fractures with arthroplasty in patients = 50 years. Methods: It is a retrospective cross-sectional study with data collection from Hospital Management Information System from 1st January 2020 to 31st July 2023. SPSS version 25 was used for data analysis. Mean & standard deviation was reported for quantitative variable & frequency and proportion were reported for qualitative variables. The crosstabulations were performed to evaluate the association between the variables. Results: Total number of patients in this study was 305. Mean age was 67.80 ± 10.5 SD. Male to female ratio was 150:155. Co-morbidities were found in 126 patients. The surgical options used were Austin Moore prosthesis (64), Cemented Bipolar (36), Hybrid Total Hip Replacement (7), Non-cemented Total Hip Replacement (86), Cemented Total Hip Replacement (32), Uncemented Bipolar (71). Garden Type-2 fracture was noted in 33 patients, Type-3 in 170 patients and Type-4 in 87 patients. Cemented stem was used in 74 patients while 222 patients had non-cemented stem. Conclusion: One quarter of the patients had cemented stem implanted compared to three quarter of the patients who had non-cemented stem.

Page(s): 1073-1076

DOI: 10.12669/pjms.40.6.9135

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 40, Issue: 6, Year: 2024

Keywords:

Total hip arthroplasty , Unipolar hemiarthroplasty , Bipolar hemiarthroplasty

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