Early funtional outcome of total hip replacement in displaced femoral neck fractures in elderly patients in a tertiary health care centre

Introduction: During the past 10 years, there has been a worldwide effort in all medical fields to base clinical health care decisions on available evidence as described by thorough reviews of the literature. Hip fractures pose a significant health care problem worldwide, with an annual incidence of approximately 1.7 million. Globally, the mean age of the population is increasing, and the number of hip fractures is expected to triple in the next 50 years. One-year mortality rates currently range from 14% to 36%, and care for these patients represents a major global economic burden. Purpose of this study was to evaluate the clinical and functional outcomes of Total Hip Replacement using Modified Harris Hip score. The incidence of femoral neck was more in 7th decade of life than in 8th and 9th decade with males outnumbering females. Methods: The study was carried out on 40 patients more than 60 years old with displaced intracapsular fractures of femoral neck in whom Total Hip Replacement was done by the Department of Orthopedics, Government Medical College and Hospital Jammu from August 2013 to August 2015. This was a prospective study with an average follow up of 13.75 months. Results: The average post operative Harris Hip Score was 86.45(range 77-93). 95% of patients achieved good to excellent result. Conclusion: Our study suggests that THR can provide satisfactory clinical and radiographic outcomes after an intermediate duration of follow-up for displaced femoral neck fractures in patients more than 60 years.