Trends in managing femoral neck fractures with arthroplasty in the ≥ 50 years age group

Syed Imran Bukhari; Noman Ali; Saleem Ullah; Mian Asad Ullah

doi:10.12669/pjms.40.6.9135

Syed Imran Bukhari Lady Reading Hospital
Noman Ali
Saleem Ullah
Mian Asad Ullah

DOI: https://doi.org/10.12669/pjms.40.6.9135

Keywords: Unipolar hemiarthroplasty, Bipolar hemiarthroplasty, Total hip arthroplasty

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 cross- tabulations 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.

doi: https://doi.org/10.12669/pjms.40.6.9135

How to cite this: Bukhari SI, Ali N, Saleem Ullah, Asad Ullah M. Trends in managing femoral neck fractures with arthroplasty in the ≥ 50 years age group. Pak J Med Sci. 2024;40(6):1073-1076. doi: https://doi.org/10.12669/pjms.40.6.9135

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.