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Comparative Studies | Orthopaedic Surgery | India | Volume 13 Issue 1, January 2024
Comparative Study of the Outcome of Hardinge's vs Moore?s Approach of Hemiarthroplasty of Hip
Dr. Thota Naga Venkata Arvind Kumar [2] | Dr. Md. Zakir Hussain Arshad [3]
Abstract: Fracture neck of femur is a leading cause of hospital admissions in early age group. The number of admissions raised because of increased longevity, osteoporosis, and sedentary habits. Conservative management is not acceptable because it results in non-union with unstable hip and limitation of hip movements as well as prolonged immobilization like deep vein thrombosis, bed sores. Current study designed to compare and analyze the outcome of Hardinge's vs Moore's approach of hemiarthroplasty of hip. To compare advantages and disadvantages of Hardinge's vs Moore's approaches. It is comparative study of outcome of Hardinge's vs Moore's approach in hemiarthroplasty of hip done on 20 cases who presented with neck of femur fractures. The selection of patients was randomized by selecting every alternate case by Moore's or Hardinge's approach. Functional outcome was evaluated using Harris Hip Score. In a series of 20 cases the mean age group and duration of hospital stay in Hardinge's was 43.48 years and 20 days respectively and Moore's group was 44.24 years and 22 days respectively. Harris hip score post operative: poor-1 case under hardinge's and 2 cases under Moore's. Fair-2 cases under hardinge's and 2 cases under Moore's. Good-3 cases under hardinge's and 3 cases under Moore's. Excellent-4 cases under hardinge's and 3 cases under Moore's. In our study the right side was commonly involved with fall as most common etiology. Outcome was excellent in 15 cases, good in 4 cases and poor in 1 case. In Moore's approach prosthesis head dislocation, sciatic nerve injury, infection, reduced range of movements was seen whereas in hardinge's abductor lurch gait was seen. In conclusion, Hardinge's approach is recommended as better than Moore's due to number of complications is lower in hardinge's approach. Patient's compliance is better post operatively; surgical wound healing is better, no sciatic nerve involvement and no head dislocation chances.
Keywords: Neck of femur fractures, Hardinge's approach, Moore's approach
Edition: Volume 13 Issue 1, January 2024,
Pages: 1327 - 1329