Complications following fracture neck of femur treated with austin moore hemiarthroplasty: A rare case report

Abstract

A 72-year-old male patient was operated by Austin Moore hemiarthroplasty for fracture neck of femur 6 years back who developed multiple complications. In this case, the patient developed dislocation of the hip joint following which the Austin Moore prosthesis got broken. During revision with bipolar hemiarthroplasty, the patient developed fracture of proximal femur which was poorly managed by K-wires and stainless steel wires. After some time, the patient developed dislocation of the bipolar prosthesis and signs of infection. We operated this patient with a two-stage revision. In the first stage following removal of all infected metalwork and debridement, we put antibiotic cement spacer, and after 4 weeks in the second stage, we did a total hip replacement with uncemented constrained proximal femoral modular reconstruction prosthesis. The case is being reported for its rare presentation in genuine management and successful outcome.

Keywords

• austin moore hemiarthroplasty
• complications
• dislocation
• elderly
• fracture neck of femur