Prosthetic Replacement For Femoral Neck Fractures

Abstract

Prosthetic replacement of the femoral head was performed in series of five selected patients at Shanta Bhawan Hospital, Kathmandu. Although prosthetic replacement surgery is common place in most parts of the globe, this was the first time we had undertaken this type of treatment at our hospital. We used fenestrated stem Austin Moore prosthesis in all our patients. Bone cement (methyl-methacrylate) is not readily available to us at the present and we have not yet used prosthesis with cement at our hospital. One of our patients expired in the immediate post operative period. The remaining four patients were rapidly rehabilitated and left hospital on their feet after an average in-hospital stay of about three weeks.
       Although it is too early right now to draw conclusions, we feel that given the selected patient, there are definite indications for this type of procedure even in the Nepalese socio-economic context.
                             TABLE 1.
Case    Age    Sex    Side    Associated conditions
  1        63      M      (R)      ASHD, Diabetes mellitus.
  2        63      M      (R)                ----
  3        65      M      (R)                ----
  4        72      F       (R)      Duodenal ulcer disease.
  5        70      M      (R)