We reviewed 81 consecutive ABG primary total hip replacements in 72 patients operated between January 1993 to December 1998. The mean follow-up was 8.2 years (7 to 12 years). The mean age of the patients was 52 years (range: 28 to 65 years). The mean pre-operative Harris hip score of 42 (range: 24 to 48) improved to a post-operative 80 (range: 58 to 86). At the latest follow-up 2 patients had died through causes not related to surgery. 3 cups had been revised for aseptic loosening. However, 69 of the remaining 75 acetabular cups showed excessive superolateral wear of polyethylene liner. The wear was most pronounced in cups size 46 with a 28 mm head. 16 of the acetabular cups showed significant osteolysis in zone I and II of the acetabulum (Gruen) and are awaiting a revision. None of the stems has been revised to date.

The cumulative survival of prosthesis is as follows:

Stem survival with revision being the end point: 100%

The failure of cups is related to the poor locking mechanism of the polyethylene liner. In spite of significant radiological failures of the cups most patients continued to have good Harris hip scores and remained fairly asymptomatic. The results of ABG stem in this series are good but in view of the cup failures we now no longer use the ABG I cups but advocate a long term regular follow-up of these hips

The aim of the study was to measure the Quality of Life of young patients sustained fracture neck of femur.

This is a retrospective study of 50 patients who suffered different types of hip fractures. 67 patients underwent surgeries for hip fractures between 1998-2002 were sent the ‘EUROQOL EQ-5D’ questionnaire, out of which 50 replied back. Different parameters of EQ-5D including mobility, self-care, usual activities, pain / discomfort, anxiety / depression and the overall health status were graded by these patients. The overall scores were calculated. We compared those values with calculated EQ-5D values of control groups of the same age from the general population of the UK. Information about The type of fractures, the type of operation, complications, and the mechanism of injury were recorded and their effect on the quality of life was correlated.

Out of 50 patients, there were 29 male and 21 female, with a mean age of 48.52 yrs (16 to 60 yrs). There were 32 patients with intra-capsular neck of femur fractures, (16 undisplaced & 16 displaced) 17 intertrochanteric and one with a subtrochanteric extension. 16 patients underwent Internal fixation (AO Screws), 15 had a hemiarthroplasty, 18 had Dynamic hip screws and 1 had THR. The mean hospital stay was 7.14 days (3 to 28 days). 70% of the patients reported some problems with mobility, 44% had problems in self-care, 58% had a restriction of their usual activities, and 70% had pain & discomfort at an average of 4 years of follow up. When compared with same age groups from the general population there was statistically significant difference in the EQ-5D index and EQ-5D state with p value of [p=< . 05] in the patient aged between 30 and 60 and no statistical differences between the EQ-5D index or EQ-5D state in the age groups between 20 and 39. We also found an association between poor life quality and development of complications.

Complications included one dislocated hemiarhtro-plasty, one patient had AO screws removed.

Conclusions We concluded that fracture neck of femur in young patient lead to significant deterioration in patient quality of life when compared with the same age groups from he general population. More research is required to improve the current treatment methods.