The results of hemiarthroplasty in the management of femoral neck fractures

Abstract

The aim of the study was determine the effectiveness of treatment with partial endoprosthesis in elderly patients with the femoral neck fractures. In Orthopaedics and Traumatology Clinics of Ondokuz Mayis University Medicine Faculty, during 1986-1995, 76 patients who diagnosed as femoral neck fractures were treated by hemiarthroplasty, 26 of them were evaluated. Mean age at surgery was 66.2 and average follow-up was 30 months. Eleven of them were female and 15 of them were male. Nine patients were treated with cemented Thompson type prosthesis and 2 patients were treated with bipolar hemiarthroplasty (one cemented and one uncemented). The remaining 15 patients underwent surgery with prostheses which had cemented a straight stem and modular head system. According to criteria of the Comittee of the American Orthopaedic Surgeons, results are accepted as excellent and good at 65.4% of the cases primary hemiarthropasty seems to be effective in preventing complications due to immobilization during postoperative period and permitting early mobilization and walking in elderly and medical compromised patients.