Two years outcome of cemented austin moore hemiarthroplasty for fracture neck femur

Abstract

47 consecutive cases of fracture neck femur in patients older than 70 years were managed by cemented hemiarthroplasty with Austin Moore prosthesis at a tertiary care teaching hospital with the objectives of studying the short come outcome and to compare the results with standard studies using uncemented Austin Moore prosthesis, to determine if cementing the prosthesis improves clinical outcome. Patients who were available for follow up for a minimum of two years have been included in this study. Short term functional outcome was analyzed using the Harris hip scoring system. 44 patients were available for follow up at the end of study period. The patients were in the age group of 72 to 93 years with the mean age of 78.2 years. 59% of the patients were females with 88.6% of all cases sustaining the fracture following a trivial trauma. The functional outcome using the Harris hip score was excellent in 43.5%, good in 38.4%, fair in 11.3% and poor in 6.8% of the cases. There was no case of bone cement implantation syndrome. Hemiarthroplasty with Austin Moore prosthesis is a good option in elderly patients with limited physical demands and mobility. Cementing the prosthesis can achieve better control of thigh pain, improves mobility, allows early mobilization and lesser use of walking aids. The use of cement does not increase perioperative mortality or morbidity in patients without severe cardiopulmonary compromise.