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Irish Journal of Medical Science

, Volume 160, Issue 1, pp 5–7 | Cite as

The monk hard-top prosthesis for displaced intracapsular fractures of the femoral neck

  • H. B. Casserly
  • B. Healy
Article

Summary

The Monk Hard-Top prosthesis was inserted without operative mortality in 85 patients, with an average age of 81 years, presenting with Intracapsular Fracture of the Femoral Neck, Garden grade 3 or 4.

At review, 60% of the patients walked unaided, without pain. Only 6% of those reviewed had a poor functional outcome. Fifty-three per cent of the patients returned to their previous environment and 47% had died 6 months postoperatively.

The prosthesis is more difficult to dislocate, once inserted properly, than either a Thompson Hemiarthroplasty or a Primary Total Hip replacement. It is less likely to sustain Component Disassembly than other types of bipolar hemiarthroplasty.

The Monk Hard Top Prosthesis is recommended for the treatment of Garden grade 3 or 4 Intracapsular Fractures of the Femoral Neck in elderly people.

Keywords

Femoral Neck Functional Grade Bipolar Hemiarthroplasty Intracapsular Fracture Subcapital Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Garden, R. S. Low angled fixation in fractures of the femoral neck. J.BJ.S.(Br.) 1961: 43B, 647–63.Google Scholar
  2. 2.
    d’Aubigne, R., Postel, M. Functional results of hip arthroplasty with acrylic prosthesis. J.BJ.S. (Am.) 1954: 36-A, 451–75.Google Scholar
  3. 3.
    Bhuller, S. B. Use of the Gilberty Bipolar Endoprosthesis in the femoral neck fractures. Clin. Orlh. 1982: 162, 165–69.Google Scholar
  4. 4.
    D’Arcy, J., Devas, J. Treatment of fractures of the femoral neck by replacement with the Thompson Prosthesis. J.B.J.S.(Br.) 1976: 58-B, 279–86.Google Scholar
  5. 5.
    Long, J. W., Knight, W. Batanan UPF Prosthesis in fractures of the femoral neck. Clin. Orth. 1980: 152, 198–01.Google Scholar
  6. 6.
    Rae, P. J., Hodgkinson, J. P.et al. Treatment of displaced subcapital fractures with the Chamley-Hastings Hemiaithroplasty. J.B.J.S.(Br.) 1989: 71-B, 478–82.Google Scholar
  7. 7.
    Meyer, S. Prosthetic replacement in hip fractures: A comparison between the Moore and the Christiansen Endoprosthesis. Clin. Orth. 1981: 160, 57–62.Google Scholar
  8. 8.
    Riska, E. B. Factors influencing the primary mortality in the treatment of hip fractures. Injury 1970: 2, 107–15.PubMedCrossRefGoogle Scholar
  9. 9.
    Burwell, H. B. Replacement of the femoral head by a prosthesis in subcapital fractures. J.B.J.S.(Br.) 1976: 54B, 741–49.Google Scholar
  10. 10.
    Wrighton, J. D., Woodyard, J. E. Prosthetic replacement for subcapital fractures of the femur; a comparative study. Injury 1971: 2, 287–93.PubMedCrossRefGoogle Scholar
  11. 11.
    Coates, R.L., Armour, P. Treatment of subcapital fractures by primary total hip replacement. Injury 1981: 11, 132–35.CrossRefGoogle Scholar
  12. 12.
    Sim, F. H., Stauffer, M. D. Management of hip fractures by total hip replacement. Clin. Orth. 1980: 152, 191–94.Google Scholar

Copyright information

© Springer 1991

Authors and Affiliations

  • H. B. Casserly
    • 1
    • 2
  • B. Healy
    • 1
    • 2
  1. 1.Royal Liverpool HospitalLiverpool 7
  2. 2.Orthopaedic DepartmentSligo General HospitalSligoIreland

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