Source of Support: None, Conflict of Interest: None
In the last 2 decades prosthetic replacement of the femoral head has become the accepted procedure in the elderly patients with femoral neck fractures, whose closed reduction or previous internal fixation has failed, who are seen late or who are admitted with special situations such as seizure disorder, parkinsonism, alcoholism or pathological fracture. In our country the incidence of non union is very high because most of our patients are primarily treated with indigenous methods. We have been treating these fractures in the elderly over the age of 60 years, whose fracture cannot be reduced or those with non union, by prosthetic replacement. The functional restoration after this surgery is so gratifying that we thought, it would be appropriate to review our cases. This paper is based on a series of 35 cases done at the Kilpauk Medical College and Hospital in the years 1975-77.