Primary Arthroplasty: A Case Study

Rogmark C, Johnell O (Jun 2006) took 14 randomised controlled trials containing 2289 patients for meta-analysis. Primary arthroplasty was found to have fewer method related hip complications, reoperations and less pain compared to internal fixation. They concluded that primary arthroplasty is to be done in displaced femoral neck fractures. The healthy should undergo total hip replacement and the older impaired individuals would benefit by a hemiarthroplsty[20].

Bjorgul K, Reikeras O (Jun 2006) did a prospective study of 683 patients with displaced femoral neck fractures treated primarily internal fixation or by hemiarthroplasty and were followed up for 1-6 years. They found out that 24 % of patients treated by osteosynthesis had to undergo revision while only 2 % of patients who had primarily undergone hemiarthroplasty required revision surgery. There was no significant mortality among the groups at 30, 120 or 365 days. They concluded that even if only the best healing fractures are treated with internal fixation, the results are inferior to hemiarthroplasty[21]. …show more content…
In grossly osteoporotic bone with wide intramedullary canal, cemented hemiarthroplasty should be used. In case of frail, elderly with co-morbidities uncemented hemiarthroplasty would be good for them to tolerate nursing