DOI: 10.36347/sjams.2019.v07i01.007

Pages: 40-44

Abstract: Hemiarthroplasty is indicated in patients with four-part fractures and in elderly patients with osteoporotic bone who have fracture-dislocations. This study includes 20 patients, of which 14 were females and 6 males. The patients’ mean age at the time of presentation was 64± 7.32 years. The time to follow up was 36 months. The right arm was involved in 8 and the dominant side in 12 patients. The mechanism of injury was a fall at home in 89%, and a road traffic accident in 11% of patients. The Neer monobloc prosthesis was used in 8 patients and the Global modular prosthesis in 12 patients. Constant scores were 54(32-78), Adl 15 (12-19), Rom 24 (10-38), pain 12(10-14), Strength 3(0-7), Total score 54 (32-78). Several complications resulted: 1 superficial wound infections, 1 proximally migrated prosthesis, 1 intraoperative fracture distal to the prosthesis, 4 late detachments of the tuberosities and 1 excessive heterotopic ossification.