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Volume 8 Issue 10 (October, 2020)

Original Articles

Comparative study of anterolateral and posterior surgical approach for cemented hemi-arthroplasty in fracture of neck of femur
Ravi Ranjan Singh, Shivam Anand, Bharat Singh

Background: Hip fractures in the elderly represent a major public health concern. Surgical approaches to the hip for hip hemi-arthroplasty can be divided into three main categories: lateral approaches (LA), posterior approaches (PA) and anterior approaches (AA). Hence; the present study was undertaken for assessing and comparing the efficacy of anterolateral and posterior surgical approach for cemented hemi-arthroplasty in fracture of neck of femur. Materials & methods: A total of 40 patients with fracture of femur were enrolled in the present study. Demographic data of all the patients was obtained and clinical examination was done. Pre-operative radiographs were taken and extent and severity of fracture was recorded. All the patients were broadly divided into two study groups as follows: Group A: Patients treated by hemi-arthroplasty by anterolateral surgical approach, and Group B: Patients treated by hemi-arthroplasty by posterior surgical approach. After treatment, follow-up was done and clinico-radiographic examination was carried out. Follow-up examination included analysis of mobility and pain. Harris hip score was also evaluated on one year follow-up. Results: Pain was present in 15 percent of the patients of group A and 10 percent of the patients of group B. Non-significant results were obtained while comparing the incidence of postoperative pain of follow-up in between the two study groups. Also, non-significant results were obtained while comparing the need for mobility in between the two study groups. Mean Harris hip score on follow up among patients of group A and group B was found to be 76.2 and 78.1 respectively. While analyzing statistically, non-significant results were obtained. Conclusion: Both the surgical approaches can be used with equal efficacy among patients with femur neck fractures. Key words: Surgical approach, Hemi-arthroplasty.

 
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