Austin Moore hip prosthesis replacement in Ratchaburi Hospital.

From 1992 to 1994, eighty-two patients with 82 displaced femoral neck fractures were operated on with Austin Moore prosthesis replacement at the Department of Orthopedics, Ratchaburi Hospital. There were 31 males and 51 females, their mean age was 68.4 years (range: 21-91 years). Sixty-two patients were seen at the average of 12.36 months' follow-up (range: 6-31 months). The clinical result was excellent 51.61 per cent, good 25.81 per cent, fair 11.29 per cent and poor 11.29 per cent. There were three cases of superficial wound infection, two cases of minor fissures or fractures during surgery, and two cases of stem loosening. Two patients died within 2 weeks post-operatively due to recurrent myocardial infarction.

Closed intramedullary nailing for femoral shaft fracture in Ratchaburi Hospital.

Forty-four patients with 44 femoral shaft fractures were treated by AO interlocking nail technique at Ratchaburi Hospital. All cases were comminuted, segmental or rotational unstable fractures caused by traffic accidents. All patients had more than 90 degrees flexion of the knee within 2 weeks and resumed full range of motion of the knee within 2 months post-operatively. There were no serious complications found in the period of 29 months follow-up. We conclude that the closed interlocking nail is one of the treatments of choice for comminuted, segmental or rotational unstable femoral shaft fractures.