Functional evaluation in high energy (Schatzker Type IV, V, VI) tibial plateau fractures treated by open reduction internal fixation

Abstract

Introduction and Objectives: The Purpose of this study is to assess the Radiological outcome of Total Hip Arthroplasty in Displaced fracture Neck of femur. Materials and Methods: 22 patients of displaced intracapsular neck of femur fracture were included in this study of which 14 patients managed through cemented and 8 managed through Uncemented Total Hip Arthroplasty, respectively. In this study patients operated with uncemented implants were assessed for radiological outcome by utilizing Andrew Whaley and Daniel et al and Engh’s criteria while patients operated with cemented implants were assessed for radiological outcome by utilizing De Lee and Charnley criteria and Gruen Zone Criteria. The Data was analyzed by SPSS 20.00 using Chi-square test. Results: In our study period no loosening of acetabular or femoral components were noticed. Acetabular cup inclination was normal in 77%, vertical in 14% and horizontal in 9%. Position of the stem of femoral component was neutral in 73% with 13.5% of varus and valgus each. No vertical subsidence and no migration of acetabular cup was seen in our study. There was 4.5% i.e., one patient developed Type II Heterotopic ossification. Conclusion: The results of this study shows that Total Hip Arthroplasty gave better results in Displaced Intracapsular Neck of femur fractures radiologically. Also there was no loosening of Acetabular component or migration of acetabular cup and cup position was normal in 77% cases. Femoral stem position was Neutral in 73% of cases with no vertical subsidence and no femoral component loosening. Keywords: Total hip arthroplasty, Radiological outcome, Neck of femur fracture.

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