Intracapsular fracture neck of femur

ABSTRACT

To evaluate these methods of treatment, in search of providing patients a better quality of life. This prospective study was carried out on fifty patients of displaced femoral neck fractures admitted in Orthopaedic Department, Nishtar Hospital, Multan during period November 1991 to December 1993. Fifty non-pathological displaced femoral neck fracture in patients above forty years were treated either with Austin Moore hemiarthroplasty or internal fixation with DHS, Cancellous screws or Moor's pins. Weight-bearing was allowed after two weeks in hemianhroplasty group and after 6 weeks in internal fixation group. After two -years follow up, there was no significant difference in mortality in two groups. Early [Technical] complications were more with internal fixation. [25% compared to 6.6% with Moore hemiarthroplasty]. Reoperation rate within the first year was significantly high for internal fixation i.e. 45% compared with 6.6%. It was concluded that endoprosthetic replacement in displaced femoral neck fractures in elderly patients is a reliable treatment method for selected indications, and gives good short to medium term functional results when employed with careful preoperative technique and proper postoperative care and rehabilitation