Cancer awareness & its association with demographic variables & mobile phone usage among the rural population of a district in north India

Background & objectives: Lack of awareness is one of the major reasons for the high morbidity and mortality associated with cancers. The present study was aimed to evaluate the awareness of prevalent cancers among the rural population in a district of north India and its association specifically with mobile phone usage. Methods: Using a stratified random sampling technique, households in three villages of Gautam Buddh Nagar district of India were selected. A house-to-house survey on cancer awareness was conducted among adults in selected households and data were analyzed to check for the association of such an awareness with sociodemographic factors and internet usage. Results: The study included 59 males and 145 females, with majority (115) being in the age group of 18-30 yr. Although most (96.5%) of the participants were aware of cancer, the common risk factors and warning signs of cancer were known to only a few. Specific risk factors for cervical and breast cancers were, however, not known to a majority (79.9% and 72.2%). A significant association between the awareness of general risk factors and warning signs as well as specific aspects including risk factors for breast, cervical and oral cancer, HPV vaccine and the education level of the participants (P<0.05 for all). Knowledge of risk factors, warning signs and cancer prevention modalities was higher among mobile phone users who accessed internet for health information. There was no significant association between age group and cancer risk factor awareness, though females were more aware of the risk factors for breast cancer (P=0.002). Interpretation & conclusions: The findings of this study highlight the existing low level of awareness of cervical and breast cancers among the rural population. The association of cancer awareness with education level and mobile phone-based internet usage suggests the potential utility of internet-based platforms such as m-health programmes for cancer prevention activities

Pattern Of Infections In Custodial Deaths � A Forensic Autopsy Study

Background: In a country like India, the prisoner cells are not well structured. For instance prisons are known to be a high risk environment for infections like tuberculosis (TB), HIV, HCV, HBV etc. due to overcrowding, low levels of nutrition, poor infection control and lack of accessible healthcare services. This study is an effort to know about the pattern of infections in custodial death cases detected during post mortem examination. Aims and Objectives: To determine the common infections and to know the mortality caused by infections among prisoners in custody, people in police custody and mentally ill patients in mental health institute in Punjab.Methods:This cross sectional study of 100 cases of custodial deaths from 1st Jan 2019 to 4thMay 2021, was carried out in the Forensic Medicine department in collaboration with department of Microbiology, Govt. Medical College, Amritsar.Results:Klebsiella Pneumoniae (37.5%) is more common in age group of 10-30 years while Staphylococcus Aureus (35.9%) infection was more common in the age group of 31 to 50 years. Incidence of positive growth of infections was slightly more in female inmates (76.9%) as compared to the males (75.9%). Inmates from urban area background showed more growth of Staphylococcus Aureus (35.7%) than from rural area background(25%).Conclusions:Timely medical diagnosis and treatment of each prisoner with availability of good doctors are the important issues relating to the healthcare of the individuals in custody.

Is enucleation followed by peripheral ostectomy and Carnoy's solution application an adequate treatment for Odontogenic keratocyst? A case series with up to five years of follow up / A enucleação seguida da osteotomia periférica e a aplicação de solução de Carnoy é um tratamento adequado para o ceratocisto odontogênico? Uma série de casos com acompanhamento de até cinco anos

Objective: To evaluate the treatment outcome of enucleation and peripheral ostectomy with the use of Carnoy's solution for management of Odontogenic keratocyst. Material and Methods: 17 patients with OKC who reported from 2011 to 2015 were included. All the cases were treated by enucleation and peripheral ostectomy of 0.5mm followed by Carnoy's solution cauterization for 4 minutes. All patients were followed up for 4-5 years. Results: All the cases were followed-up by using serial panoramic radiography and clinical evaluation at regular intervals. No recurrence was reported in any of the cases. Conclusion: Treatment of Odontogenic keratocyst by enucleation and 0.5mm of peripheral ostectomy, followed by Carnoy's solution cauterization for 4 minutes is an effective treatment with zero recurrence rates for five years of follow-up (AU)

Objetivo: Avaliar o resultado do tratamento de enucleação e osteotomia periférica com o uso de solução de Carnoy para o manejo do ceratocisto odontogênico (OKC). Material e Métodos: 17 pacientes com OKC com acompanhamento de 2011 a 2015 foram incluídos. Todos os casos foram tratados através da enucleação e osteotomia periférica de 0,5 mm, seguido da cauterização com solução de Carnoy por 4 minutos. Todos os pacientes foram acompanhados por 4-5 anos. Resultados: Todos os casos foram acompanhados por meio de séries de radiografias panorâmicas e avaliação clínica em intervalos regulares. Nenhuma recorrência foi reportada em nenhum dos casos. Conclusão: O tratamento de ceratocisto odontogênico por meio da enucleação e osteotomia periférica de 0,5mm, seguido da cauterização com solução de Carnoy por 4 minutos é um tratamento efetivo com zero taxa de recorrência em um acompanhamento de 5 anos. (AU)

Use of Foley's catheter as a tourniquet for the management of vascular lesion of lip in Mowat-Wilson syndrome

Background: Vascular malformation of lower lip is a very rare anomaly. The lesion leads to facial asymmetry, difficulty in speech and eating and drooling of saliva. Treatment goals include symmetrical reconstruction of the lip with minimal scarring, provide adequate bulk for the reconstruction of vermillion, in toto removal of the lesion and prevent recurrence. The most common complication during surgical removal of these lesions includes blood loss and profuse bleeding which leads to poor visibility, increased operation time and postoperative requirement of blood transfusion. Therefore, the use of sclerosing agent is recommended before surgical removal. This may help in decreasing bleeding during surgery but not in all cases. Case Report: Here, we report the use of Foley's catheter for the management of a high flow lesion of lower lip in a 12-year-old patient diagnosed with Mowat-Wilson syndrome. This technique helped in providing bloodless field which lead to minimal blood loss and good visibility intraoperatively.

Role of Vitamin B Complex as an Add-on Therapy to Diclofenac in Patients with Primary Osteoarthritis of the Knee

Objective: This study was conducted with the aim to evaluate the efficacy and safety of Vitamin B complex as an add-on therapy to diclofenac in patients with primary osteoarthritis (OA) of the knee. Materials and Methods: In this prospective, open-labeled, randomized, and comparative clinical study, a total of 130 patients of age >40 years with primary OA of knee attending orthopedics OPD were randomly allocated into two groups of 65 each, i.e., Group D and Group B. In Group D, patients received tablet diclofenac 75 mg and in Group B, patients received tablet Vitamin B complex along with diclofenac once daily for 4 weeks, respectively. Clinical assessment was done at baseline and at the end of 4 weeks and 8 weeks by the visual analog scale (VAS), WOMAC index, and Lequesne index. Results: During the intergroup comparison, it was found that Vitamin B complex as an add-on therapy to diclofenac produced statistically significant reduction in mean VAS pain score (P < 0.05). However, the difference in mean WOMAC index and Lequesne index was not statistically different at 4 and 8 weeks between the two groups (P > 0.05). Mild side effects were seen at 4 weeks, but no side effects persisted up to 8 weeks in both the groups. Conclusion: The present study suggested that Vitamin B complex as an add-on therapy was found to cause a significant reduction in pain score. It could be a promising drug in patients with OA to improve the analgesic effect, when combined can reduce the dose of diclofenac, thereby minimizing the side effects.

Prevalence of hepatitis-C viral infection among opioid dependent injectable drug users: a study conducted at regional hospital drug de-addiction and treatment centre, Solan, Himachal Pradesh, India

Background: There are a limited number of studies regarding the prevalence of hepatitis B, hepatitis C and HIV infections among the drug addicts in Himachal Pradesh; C virus (HCV) infection in north India especially Himachal with very high rates of substance abuse. The present study was attempted to study the prevalence of hepatitis C among the injectable drug users, which is more important in a country like India where viral hepatitis is estimated to be among the top ten causes of deaths.Methods: A study was conducted in 2019-2020 (July-April). HBsAg, anti-HBs, anti-HCV and anti-HIV tests in 235 drug addicts were studied. Urine samples obtained from drug addicts were analyzed for cannabis, opiate and cocaine metabolites.Results: The subjects included were 235 IDUs who were opioid dependent. All the 235 drug users were males, and their mean age was 30.69±9.494 years; 112 (47.7%) of them were in the age group ranging 20 - 29 years (p <0.05). Of 235 drug addicts, 113 (48.1%) and 115 (48.9%) were only cannabis and opiate users, respectively. The frequencies of HBsAg, anti-HBs and anti-HCV among drug addicts were 2.6%, 38.3%, and 9.4%, respectively.Conclusions: The obtained results showed that HCV infection was an alarming problem among opiate users in this part of Himachal. It is suggested to rapidly diagnose the infected persons; thus preventive measures and appropriate control may limit further transmission of these infections.

Evaluation of Adhesions Underneath Laparoscopic Sterilization Scar in Patients Undergoing Abdominal Surgery

Introduction: The minimally invasive approach has become the method of choice for treating most benign abdominal diseases that require surgery. However, it is obvious that laparoscopic procedures are not risk free. The aim of this study was to evaluate the prevalence of intra abdominal adhesions underneath umbilical scar following laparoscopic sterilization, in patients who are undergoing abdominal surgeries. Materials and Methods:The present study was a hospital based prospective observational study conducted in the Department of Surgery, Dr Rajendra Prasad Government Medical College (Dr. RPGMC), Kangra at Tanda (HP). The study group consisted of patients admitted to department of surgery during a period of one year and who fulfilled inclusion criteria. During intraoperative period, they were examined for presence or absence of adhesions at the site of previous laparoscopic sterilization scar at Periumblical area.Results:Total of 60 patients were taken in this study. Two out of 60 (3.3%) patients had adhesions underneath previous Laparoscopic Sterilization scar around umbilicus and adhesive structure was omentum in both cases.Conclusion:Adhesion formation is expected in any abdominal surgery whether open orlaparoscopic surgery. In our study only 3.3% of patients had adhesions underneath previous laparoscopic sterilization scar in periumblical region. Therefore umbilical port can be considered for re-entry of index port in next laparoscopic surgery, in patients with history of laparoscopic surgery through umbilical region.

Curse of the technology-computer related musculoskeletal disorders and vision syndrome: a study

Background: Computer Related Musculoskeletal disorders and Vision Syndrome (CRMSKVS) is defined as symptoms due to prolonged use of Visual Display Terminal (VDT).Methods: A cross-sectional observational study was done among office-workers working on computer terminal. A self-reported questionnaire was distributed and Musculoskeletal (MSK) and visual symptoms in the preceding 12 months (01 October 2017 to 30 September 2018) were taken as dependent variable. Multivariate analysis was done to identify the determinants of CRMSKVS.Results: Responses from 1193 subjects were included in the study. CRMSKVS was present in 489 cases (40.98%; males - 37.5%, females - 58.29%).  The main MSK symptoms were pain/stiffness in neck (40.98%), shoulder (38.99%), lower back (35.6%) and elbow/wrist/hand/fingers (23.1%). The ocular symptoms were excessive watering (39.6%), pain (24.99), irritation (18.6%), burning/itching sensation (29.8%), redness (40.7%), blurring of vision (13.2%) and headache (40.9%). Female gender (OR-1.498(1.262-1.778)), long duration of working hours (OR-2.77(2.399-3.214)), poor break duration (OR-2.59(2.172-3.089)), excessive smart phone use (OR-2.071(1.834-2.338)), poor posture (OR-3.883(3.282-4.592)), inappropriate distance of computer screen (OR-2.173(1.829-2.582)), low height of screen (OR-1.936(1.527-2.454)), distance of keyboard (OR-3.161(2.528-3.953)) and distance of mouse (OR-5.785(3.932-8.512)) were identified as significant determinants of CRMSKVS.Conclusions: CRMSKVS is an emerging pandemic which needs urgent attention by medical and administrative authorities. The device factors, personal factors, environmental and ergonomic factors are the modifiable risk factors for CRMSKVS.

A rare case of polydactyly with multiple defects

Bardet-Biedl Syndrome (BBS) is a very rare genetically heterogenous disorder. Here is a case of 27 yr. old obese male presented with acute gastroenteritis with shock in our department. He had polydactyly in both upper limb and left lower limb, blindness since childhood, with difficult in learning and delayed onset of milestones. Patient抯 sibling (younger brother 20-year-old) also had same problems since childhood and one female baby died within few days of birth. He was having single testis. Patient was managed conservatively. The available literature on this syndrome was reviewed.

Prevalence of health risk behaviours among the school going adolescents of Gwalior township

Background: The high-risk behaviors are defined as behaviors which threat health and well-being of adolescences, youth and other society’s members. Habits and behaviour that acquired in adolescent have influence in adulthood as well. Health risk behaviors such as alcohol use, smoking, substance use, unsafe driving, unintentional injuries and violence and sexual risk behaviors among adolescents is widely prevalent. Adolescent have tendency to experiments new things, they want to explore new things because of this they have risk taking behavior, this nature is also due to hormonal surge and emotional predominance. The aim and objectives of this study was to estimate the prevalence of health risk behaviors and on the basis of key findings suggest recommendations.Methods: This study is based on self-reported experiences of health risk behavior by school going adolescents. Adolescents are selected by the simple random sampling, and data is collected by the semi-structured, self-administered questionnaire.Results: 26% adolescents experience road traffic accident, 4.5% experience assault. 11% were used to smoke, 9% nonsmoking products, 2.67% uses alcohol some time in their life. 9% adolescents experience symptoms of RTI.Conclusions: Adolescent stage is a period of various changes so they need proper care, support and counseling to cope with this transition phase.

Waardenburg syndrome: a rare genetic disorder in four generations of a family

Waardenburg Syndrome (WS) is a rare autosomal dominant disorder manifesting with sensorineural deafness, pigmentation defects of the skin, hair and iris and various defects of neural crest derived tissues. A primigravida mother delivered a full term, appropriate for gestational age, 2530 gm female child, by emergency LSCS. Baby was admitted in the NICU in view of features suggestive of Waardenburg syndrome, like white forelock of hair, broad nasal root and hypopigmented patches on the skin for further work up and management. Several members in the family were affected in the last 4 consecutive generations. Our baby was feeding well and discharged home after an uneventful hospital stay. Early diagnosis, detection of findings of hearing loss and the characteristic ophthalmic findings as well as regular follow up is necessary to enable the patient to lead a better quality of life.

Diversity of ethnomedicinal plants in Churdhar Wildlife Sanctuary of district Sirmour of Himachal Pradesh, India

Himachal Pradesh has a great altitudinal range (300–7,000 masl), with varied species, habitats, communities,populations, and ecosystems. There are more than 3,400 different species of plants are reported to be found inHimachal Pradesh. In the state, excess of thousand plant species identified as aromatic and medicinal appear intemperate forests, Shiwalik hills, alpine and sub-alpine pastures. Majority of the inhabitants in Himachal Pradeshbelong to different communities and cultures, with specific traditional knowledge. In the remote areas, especiallyhigh-altitude regions are contemporary medical amenities, and therefore tribal and rural society mainly depends onnative medicinal plants. Herein, we compiled 41 medicinal plant species belonging to same or different families usedby migratory shepherds in Churdhar Wildlife Sanctuary of district Sirmour in Himachal Pradesh. This survey will helpthe medicos, pharmaceutical industry for refining the public healthiness amenities, and maintenance of wild medicinalplant prosperity of the studied zone.

Antibiotics-related adverse drug reactions at a tertiary care hospital in North India

Background: Antibiotics are considered to be commonly used drugs in hospital setting due to higher prevalence of infectious diseases especially in India. So, the present study was conducted to assess the incidence of adverse drug reactions (ADRs) due to antibiotics and analyze for causality of adverse drug events reported.Methods: The present retrospective and observational, study was conducted in BPS GMC for women, Khanpur Kalan, Sonepat, Haryana which is a 500 bedded government medical hospital situated in rural area between March 2016 to February 2019 (i.e., 3 years). Patients of either sex or age who developed ADRs by any route were included in the study.Results: 300 (38.65%) cases were reported due to antibiotics out of total 776 ADR cases. 3% cases were serious. Adults (65%) were found to be most commonly affected by ADRs. Among antibiotics, cephalosporins and penicillins (15.98%) were the major culprit to cause adverse events followed by nitroimidazoles (15.2%) and antitubercular drugs and fluoro quinolones (13.16%). The most affected organ system was skin (49.33%) followed by the gastrointestinal system (33%). As per WHO scale of causality assessment, 33.33% and 67.67% reported cases were found to probably and possibly related to adverse events respectively.Conclusions: Antibiotics are most commonly prescribed drugs so its monitoring regarding ADRs may benefit the clinicians in early identification and management of ADRs so that quality of life of patient can be safeguarded at an earliest.

Evaluation of Complications Associated with Injection Methyl Prednisolone & PRP for Shoulder Dysfunctions: An Institutional Based Study

Background: The term “frozen shoulder” as a disease of slowonset, with inability to sleep on the affected side due to severepain and stiffness in all directions without radiologicabnormalities. The annual incidence of periarthritis is between3% -5% in the general population & as high as 20% amongindividual with diabetes. The present study was conducted withthe aim to evaluate the complication associated with injectionmethyl prednisolone and PRP for shoulder dysfunction.Materials and Methods: The present comparative study wasconducted in the Hindu Rao Hospital, Delhi over a period of 24months. Study subjects were systemically and randomlyallocated in two groups of 30 each (Group A and Group B).Two groups of 30 patient each were made. Patient in group ‘A’were subjected to autologous platelet rich plasma injection andin group ‘B’ were subjected to local injection methylprednisolone. Regular follow up was performed at 1 month, 2month, 6 month and any complications were noted and thedata thus obtained was arranged in a tabulated form andanalyzed using SPPSS software.Results: The p=0.118 suggests that there was no statisticallysignificant difference of gender between the two groups. Out ofthirty patients, five (16.67%) patients had a minor complicationin form of pain at injection site which subsided over one week.There were 2 cases (6.67%) with pain. Rest of the 26 patients(86.70%) had no associated complication.Conclusion: Both the method was safe with minimalcomplication in our study in contrast to literature which showsvarious adverse effects of steroid.

IOA Index – The Predictor of Gender Dimorphism

Sex determination is utmos important for forensic experts and Anthropological studies. Aim: The aim of this study is to compare cranial morphology between male and female skull using IOA Index. Methods: A total of 100 adult dry skull (50male and 50 female) were used for study using a digital Vernier calliper. Results: The male parameters were significantly higher then female parameters with no significance difference in Right and Left side of male and female. Conclusion: The skull is most commonly site for sexual dimorphisms in human Skeleton and IOA Index can be additive value gender differentiation.

Correlation between Finger Print, and Blood Group amongst Gender- A Prospective Study

Identification or identity helps us to determine the individuality of person, living or dead. Establishing the identity is of immense importance in forensic medicine. Aim: The aim of this study was to determine the correlation between finger print, gender, and blood group. Methods: A total of 100 subjects participated in the study (M=F) in the age range of 18 to 25 years. The sample was collected by simple random sampling. The finger print was analyzed by using powerful magnifying hand lens, ink pad and white chart paper. Results: The prevalence of blood groups as observed in our study for A, B, AB and O groups were 25, 33, 39, 3 for males and 23, 35, 39, 3 for females respectively. The prevalence of thumbprint amongst the gender was highest for Loops and least for arches. Conclusion: Our study reiterates that if fingerprint patterns and blood groups are studied with a larger sample size and with a multi-centric study, it may help in prediction of blood groups based on fingerprint pattern available.

Comparative Analysis on Efficacy of Injection Methyl Prednisolone vs Autologous PRP in Adhesive Capsulitis/Peri Arthritis/Frozen Shoulder

Background: Shoulder pain is a common cause of morbidity inthe community & most common cause of the pain includedegenerative disease affecting the glenohumeral andacromioclavicular joints & supporting soft tissue structure. Theapplication of intraarticular corticosteroid injection is one of thecommonly used approaches in PA shoulder. Hence, weconducted a study to investigate the effectiveness of PRP(Platelet Rich Plasma) compared with local corticosteroidinjection on Frozen shoulder (Peri Arthritis) & the possiblebenefit of one method over the other.Materials and Methods: The study was conducted in theDepartment of Orthopaedics, North DMC Medical College andHindurao Hospital, Delhi (India) over a period of 24 monthsfrom June 2017 to June 2019. A total of 60 subjects more than18 years of age were included in the study and divided intoGroup A-receiving PRP and Group B receivingmethylprednisolone. Clinical assessment was made beforeinjection 1 month, 2 month and 6 months following injectionand consisted of pain and function assessment on QUICKDASH-9 and Visual Analogue Scale. All the data thus obtainedwas arranged in a tabulated form and analyzed using SPSSsoftware.Results: The mean age in the PRP group was 50.600±5.47 &the mean age in steroid group was 52.93±4.47. The rightside was affected more in both PRP group (n=17) and steroid(n=19). The p value of 0.598 suggest no significant differenceof affected side in both groups. There was a significantdifference in VAS between Month and 2 month & 6 month. Andthere was a significant difference in VAS between 2 month and6 month. The outcome was excellent amongst 10% subjects,Good amongst 66.67% subjects, fair amongst 13.33% subjectsand poor amongst 10% patients.Conclusion: Both PRP (Platelet Rich Plasma) & Steroidshowed equal effectiveness in treating frozen shoulder.

Evaluation of renal function in subclinical and overt hypothyroidism

Background: Thyroid hormones can cause significant changes in renal function such as decrease in sodium re-absorption in the proximal tubules, impairment in the concentrating and diluting capacities of the distal tubules, a decrease in the urinary urate excretion and a decrease in the renal blood flow and glomerular filtration rate (GFR). This study was therefore planned to analyse the changes in biochemical markers of renal function in patients with subclinical and overt hypothyroidism and to correlate these values with the thyroid profile of the patients with an aim to determine whether thyroid dysfunction has deleterious effects on renal function.Methods: Study was conducted on 200 patients, in the age group of 20-70 years, in the Department of Medicine, in collaboration with Department of Biochemistry, GMC Jammu over a period of 6 months. After centrifugation, the serum was divided into 2 aliquots: one for renal function tests and the other for thyroid function tests.Results: Age wise, mean was found to be 33.2±9.3 years for euthyroid group and 42.8±8.7 years for hypothyroid group. Patients with both subclinical hypothyroidism and overt hypothyroidism showed statistically significant rise in TSH levels as compared to controls.Conclusions: It was seen that primary hypothyroidism is associated with a reversible elevation of serum creatinine in adults as well as children. It is believed that renal impairment with hypothyroidism is due to reduced cardiac output and increased systemic and renal vasoconstriction leading to reduced renal blood and plasma flow and decreased GFR.

An Observation of Cooling of Dead Body for Estimation of Time Since Death in IGIMS, Patna, Bihar

Background: Cooling of body after death is also known asAlgor Mortis. Now a days recording of temperature of a deadbodies has its medico-legal importance in connection withdetermination of time since death. It is variable and dependsupon various factor including the atmospheric temperature of aparticular region.Aim & Objective: The main objective of this objective was torecord the fall of temp in dead body as supportive data fordetermination of time since death at Patna (Bihar). Materials &Methods: The present study was conducted on 140 deadbodies brought for post-mortem examination at IGIMS, Patnafrom September 2016 to March 2018 after clearance of ethicalcommittee.Results: Between 3 to 6 hours after death, temperatures wererecorded by 96.6˚F to 95.6˚F in 37.50% of cases and in28.12% cases by 95.6˚F to 94.6˚ F and in 34.37% cases by94.6˚F to 92.6˚F. In the cases examined during 24 hours to 36hours after death rectal temperatures were found to be loweredby 78.6˚F to 74.6˚F in 0.08% cases, and in 91.66% casesbodies were found to be cooled to environmental temperature.Conclusion: The most important responsibility of the doctorsperforming post mortem examination to answer this point asprecisely and accurately as possible. It is manifestly impossibleto say the exact moment of death but a near approximationmay be reached by closely recording of rectal temperatureevery half hourly for three hours

Cemented monoblock hemiarthroplasty: a dependable option in femoral neck fracture in elderly

Background: Femoral neck fracture in elderly continues to pose a treatment dilemma. Associated co-morbidities and high mortality (1-year mortality of 25–30% and only 25% survivorship at 10 years) often skews the surgical decision. The underlying treatment goal is minimum revision and maximum functional outcome. Lack of clear guidelines is reflected by the continued debates regarding their management namely osteosynthesis vs arthroplasty; hemiarthroplasty vs total hip arthroplasty, unipolar vs bipolar and cemented vs uncemented. A review of joint registries, uniformly suggest that cemented fixation in elderly patient results in early mobilization, less residual pain and the lowest risk of revision. We analyzed clinical outcome of cemented monoblock hemi-arthroplasty (modified design) in femoral neck fracture in elderly.Methods: Total 94 cemented hemiarthroplasty, performed since January 2009, with a minimum follow up of 3 years are included in the study. Mean modified Haris Hip score at 2 years, 3 years and in the last follow up was 88 (72-91), 84 (70-89) and 81 (65-86) respectively. Acetabular erosion was noted in three patients (3.19%) (one was symptomatic) and aseptic loosening in another two patients (2.12%). Major complications such as deep wound infection, dislocation or peri-prosthetic fracture were not noted in any patient.Results: Result of the present study is consistent to marginally superior when compared to cemented Thompson monoblock and the cemented bipolar prostheses. We attribute this to routine use of cement in the elderly osteoporotic bone along with design modification of the monoblock stem. Long term result of THA is marginally (not statistically significant) better compared to hemiarthroplasty. However, it is associated with prolonged surgery, more blood loss and higher dislocation rate. The rates of dislocation following THA, bipolar and unipolar arthroplasty were 11%, 3%, and 2% respectively.Conclusions: Cemented monoblock hemiarthroplasty is effective and viable option in displaced femoral neck fracture in elderly in terms of excellent functional outcome, low reoperation without adversely affecting morbidity and mortality. Being cost effective procedure this may be considered as first line surgical option especially in socio-economically disadvantaged section of the society.