[Possibilities of unipolar hip hemiarthroplasty after femoral neck fracture].
Due to osteoporosis and incoordination, elderly people are prone to hip fractures. Hip endoprosthesis is the most rational treatment of such injuries at persons older that 65 years of age. Aim of our work was to analyze long term clinical result at the elderly patients with implanted unipolar partial hip endoprothesis after femoral neck fracture. Inclusion criteria were implantation of unipolar partial hip endoprothesis as the first operative procedure and absence of changes visible an X-ray. Our follow up was at least 18 months and all patients were treated between January 1996 and June 2001 at the Clinic for Orthopedics and Traumatology in Sarajevo according to department protocol. We used Harris hip score (HHS) for clinical evaluation. From basic group of 131 patients, in retroprospective prospective research with average follow up period of 40 months, 32 patients were clinically examined, others passed away or were not reachable. Life expectancy in basic group was 3.5 years and average HHS in examined group was 72,06 points. Our study showed that unipolar partial hip endoprothesis implanted after femoral neck fracture achieves long term fair clinical result. Main factor on a patient's recovery is not type of implanted hip endoprothesis, but general health condition before injury, motivation and early postoperative mobilization.
Klinika za ortopediju i traumatologiju, Klinicki centar Univerziteta u Sarajevu.
Mirza
M
Biscević
Dragica
D
Smrke
Ismet
I
Gavrankapetanović
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged