Functional Outcome of Fracture Neck of Femur in Elderly Treated by Hemiarthroplasty by Hardinge Approach
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Many approaches have been described for hemiarthroplasty of hip. Hardinge approach is an anterolateral approach for exposing hip joint. The Hardinge approach published in 1982 entails detaching the bulk of gluteus medius, but only a small portion of the vastuslateralis, from the greater trochanter. The posterior tendinous portion of gluteus medius is left attached to the greater trochanter and provides an anchoring point when reattaching the muscle after the procedure. This study is aimed at assessing the functional outcome of hemiarthroplasty done through hardingeapproach. Materials and Methods: This study is a prospective study done in 75 patients with fracture neck of femur treated by hemiarthroplasty by Austin Moores or bipolar prosthesis. Clinical assessment was done at 2 weeks, 6 weeks, 3 months and 6 months. The results were evaluated using AAOS scoring system. Results: 75 cases were operated within one week.In this study we had 15(20%) excellent, 51 (68%) good, 6(8%) fair and 3 (4%) poor results at the end of 3 months of clinical follow up. Conclusion: Hemiarthroplasty done by Hardinge approach yielded excellent results and increased range of movement especially flexion so that patients can use indian toilet without fear of dislocation.
Authors and Affiliations
Dr Sabarisree M
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