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.
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References
Garden, R. S. Low angled fixation in fractures of the femoral neck. J.BJ.S.(Br.) 1961: 43B, 647–63.
d’Aubigne, R., Postel, M. Functional results of hip arthroplasty with acrylic prosthesis. J.BJ.S. (Am.) 1954: 36-A, 451–75.
Bhuller, S. B. Use of the Gilberty Bipolar Endoprosthesis in the femoral neck fractures. Clin. Orlh. 1982: 162, 165–69.
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.
Long, J. W., Knight, W. Batanan UPF Prosthesis in fractures of the femoral neck. Clin. Orth. 1980: 152, 198–01.
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.
Meyer, S. Prosthetic replacement in hip fractures: A comparison between the Moore and the Christiansen Endoprosthesis. Clin. Orth. 1981: 160, 57–62.
Riska, E. B. Factors influencing the primary mortality in the treatment of hip fractures. Injury 1970: 2, 107–15.
Burwell, H. B. Replacement of the femoral head by a prosthesis in subcapital fractures. J.B.J.S.(Br.) 1976: 54B, 741–49.
Wrighton, J. D., Woodyard, J. E. Prosthetic replacement for subcapital fractures of the femur; a comparative study. Injury 1971: 2, 287–93.
Coates, R.L., Armour, P. Treatment of subcapital fractures by primary total hip replacement. Injury 1981: 11, 132–35.
Sim, F. H., Stauffer, M. D. Management of hip fractures by total hip replacement. Clin. Orth. 1980: 152, 191–94.
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Casserly, H.B., Healy, B. The monk hard-top prosthesis for displaced intracapsular fractures of the femoral neck. I.J.M.S. 160, 5–7 (1991). https://doi.org/10.1007/BF02944722
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DOI: https://doi.org/10.1007/BF02944722