Publication:

A study of comparitive analysis of the outcome of Hardinge’s and Moore’s approach of hemi arthroplasty of hip

Background The posterior (Moore) approach is generally considered to be easy to perform and has less tissue dissection, which leads to shorter operation times and less blood loss. The lateral (Hardinge) approach can provide generous exposure of the acetabulum, which facilitates cup positioning results may decrease rates of hip dislocation.

Methods In this study a prospective comparative study of outcome of Hardinge’s vs. Moore’s approach in hemi arthroplasty of hip done on 60 consecutive consenting cases who presented with a primary diagnosis of neck of femur fractures. The Selection of patients was randomized by selecting every alternate case of neck of femur fractures by Moore’s approach or Hardinge’s approach. Study recruited 30 cases in each group after the preoperative parameters like age, sex, side, mechanism of injury and the type of fracture.

Results 30 cases underwent hemi - arthroplasty of hip by Hardinge’s approach vs. Moore’s technique and we found that there was difference in duration of hospital stay, the duration of healing and the rate of complications were much higher in the Moore’s technique. In our study there was no mortality.

Conclusions Based on the findings of our study we recommend that between Hardinge’s and Moore’s approach, Hardinge’s approach is recommended as better than Moore’s approach due to number of complications is lower in Hardinge’s.