Trends in managing femoral neck fractures with arthroplasty in the ≥ 50 years age group

50岁及以上人群股骨颈骨折关节置换术治疗趋势

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Abstract

OBJECTIVE: To know about the trends in the management of neck of femur fractures with arthroplasty in patients ≥ 50 years. METHODS: It is a retrospective cross-sectional study with data collection from Hospital Management Information System from 1(st) January 2020 to 31(st) July 2023. SPSS version 25 was used for data analysis. Mean & standard deviation was reported for quantitative variable & frequency and proportion were reported for qualitative variables. The cross- tabulations were performed to evaluate the association between the variables. RESULTS: Total number of patients in this study was 305. Mean age was 67.80 ± 10.5 SD. Male to female ratio was 150:155. Co-morbidities were found in 126 patients. The surgical options used were Austin Moore prosthesis (64), Cemented Bipolar (36), Hybrid Total Hip Replacement (7), Non-cemented Total Hip Replacement (86), Cemented Total Hip Replacement (32), Uncemented Bipolar (71). Garden Type-2 fracture was noted in 33 patients, Type-3 in 170 patients and Type-4 in 87 patients. Cemented stem was used in 74 patients while 222 patients had non-cemented stem. CONCLUSION: One quarter of the patients had cemented stem implanted compared to three quarter of the patients who had non-cemented stem.

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