Comparison of Rate of Dislocation after Bipolar Hemiarthroplasty through Hardinge’s Versus Moore’s Approach in Displaced (Garden’s Types III & IV) Neck of Femur Fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2023, Vol 35, Issue 04
Abstract
Background: Hip fractures, constituting 20% of orthopedic trauma workload, often involve displaced Neck of femur (NOF) fractures. Elderly patients typically undergo Bipolar Hemiarthroplasty (BHA) using Hardinge's or Moore's approach. As debate on the preferred approach still persists in literature , this study aims to compare dislocation rates in BHA via Hardinge’s vs. Moore’s approach for displaced (Garden type III & IV) femur fractures. Objective: This study aims to compare the rate of dislocation after Bipolar Hemiarthroplasty (BHA) through Hardinge’s (Direct lateral) versus Moore’s (Posterior) approach. Methodology: It was randomized Control Trial with 60 patients (30 per group) in the Orthopedics Department, comparing Hardinge's and Moore's approaches for Bipolar Hemiarthroplasty. Follow-up data was analyzed using SPSS. Patient characteristics were expressed in frequencies, and quantitative data presented as mean ± S.D. A p-value ? 0.05 indicated significance. Limitations included a small sample size and single-center study. Results: This study compares Hardinge Bipolar Hemiarthroplasty (HBH) and Moore Bipolar Hemiarthroplasty (MBH) outcomes in terms of patient demographics and dislocation rates. Demography , medication usage, and osteoporosis prevalence vary between groups. Dislocation rates at different time points show significant differences, notably at 6 months. Independent Sample t-test reveals a <0.05 p-value, indicating a significant association between MBH and dislocation at 6 month. Conclusion: There is a definitive difference in the rate of dislocation after bipolar hemiarthroplasty (BHA) through Hardinge’s versus Moore’s approach in displaced (Garden type III & IV) neck of femur fractures.
Authors and Affiliations
Naseer Ahmed Ch. 1, Jahanzeb Mazari2, Bilal Bin Naseer3
Keywords
Related Articles
- EP ID EP740837
- DOI -
- Views 65
- Downloads 0
Outcome of Latarjet Procedure forRecurrentAnterior Shoulder Dislocation.
Objective: To determine the functional outcome of open Latarjet procedure for recurrent anterior shoulder dislocation. Methods: This descriptive study was conducted in Department of Orthopaedics, Lahore General Hospit...
Functional Outcome of Dual Mobility Cup in Complex Primary Hip Arthroplasty - Our Experience from Developing World
Introduction: Instability following total hip arthroplasty (THA) is the most common indication of revision surgery globally. It is peculiarly prevailing among high-risk patients such as those with neuromuscular disorders...
Bhatti Functional Scoring System Versus Other Clinical Scores for theEvaluation of Post-Surgical Reduction of Developmental Dysplastic Hips.
Objective: To determine the accuracy and validity of Bhatti Functional Scoring System (BFSS) for the evaluation of post-surgical reduction of Developmental Dysplastic Hips versus clinical evaluation systems designed by F...
Radiological Computation of Glenoid Version. Is there an Optimum Method?
Glenoid version assessment has often been crucial in shoulder procedures. There are no consensus regards the proper method of version measurement. However, the Freidman method has been the most familiar method for surgeo...
Our experience of Posterior interosseous bone flap reconstruction of segmental defects of hand and distal forearm
Objective: To determine the functional and radiological outcome of posterior interosseous bone flap in reconstruction of intercalated defects of the hand and distal forearm. Methods: This descriptive study was conduct...