Functional Outcomes of Cemented Total Hip Replacement in Patients Over 55 Years with Femoral Neck Fracture: A Prospective Cohort Study

Abstract

Objective: To assess the functional outcome of cemented total hip replacement in >55 years old patients presenting with femoral neck fracture.

Methodology: A prospective cohort study was conducted at department of Orthopedic Surgery, Unit- II Jinnah Hospital, Lahore from January 2019 to June 2019, involving 60 patients aged over 55 years, of either gender, presenting with femoral neck fractures from January 2019 to June 2019. Exclusion criteria included patients with a documented history or clinical evidence of chronic infections, rheumatoid arthritis, advanced osteoarthritis, or osteomyelitis, as determined through medical records, preoperative clinical evaluation, and relevant imaging or laboratory investigations. Patients underwent surgery by a single team under spinal anesthesia and were followed up for three months. Harris Hip scores were recorded, and X-rays assessed for dislocation. Data was analyzed using SPSS Version 21 to evaluate outcomes.

Results: Mean age of the patients was 69.40 ± 7.49 years. 36 (60.0%) were male and 24 (40.0%) were females with male to female ratio of 1.5:1. In my study, dislocation was seen in 04 (6.67%) patients. Mean harris hip score was 65.03 ± 5.39.

Conclusion: Study concluded that cemented total hip replacement is an effective method in achieving good Harris Hip score and less dislocation.