Total Hip Arthroplasty in Femoral Neck Fractures in Zagazig University Hospitals

• Published in: International journal of research in pharmaceutical sciences Vol. 11; no. 2; pp. 2747 - 2757
• Main Authors: Mohamed Mohamed Ibrahim Ashour, El-Sayed El-Etewy Ahmed Soudy, Mohamed El-Sadek Attia, Mohamed Ismail Abd-Elrhman Kotb
• Format: Journal Article
• Language: English
• Published: 30.06.2020
• ISSN: 0975-7538; 0975-7538
• DOI: 10.26452/ijrps.v11i2.2338

Femoral neck fractures are common in the geriatric population and are associated with high morbidity and mortality. The worldwide incidence of hip fractures is expected to approach 6.26 million by 2050. Studies showed that the functional outcome and pain scoring improved in cases of femoral neck fracture treated by total hip arthroplasty than any other methods. This study was performed on 18 patients presented with history of fracture neck femur who were admitted to orthopedic department, Zagazig university hospital in the period between January 2019 to December 2019. All cases in this prospective study were treated by THA. Prior to commencing the study, ethical clearance was taken from the Zagazig University hospitals and informed consent was obtained from all patients and their guardians before participation in the study. All the patients were operated through Harding’s approach. Both cemented and un-cemented types of arthroplasty were performed. Functional outcomes of hip were evaluated at 3 months and 6 months after surgery. The studied age ranged between 18-62 years with mean ± SD 41.5±12.4 and (44.4%) of them females and (55.6 %) males. (55.6%) of studied group were from rural areas and (44.4%) of studied group were from urban. Regarding occupation (38.8%) of the studied cases were clerk, (11.1%) were hand worker, (16.6%) were farmer, (5.5%) were student, (22.2%) were house wife and (5.5%) were teacher. 66.7 % of studied group had history of previous fixation. Previous operative fixation for fracture N F were 50 % Cannulated screw, 25 % DHS and 25% IMN. Regarding cause of lesion most frequent were failure of other fixation for N F fracture (66.7%) then acute fracture N F associated with OA (22.2%) and neglected N F fracture (11.1%).