Comparison of hemiarthroplasty and total hip arthroplasty in elderly patients with displaced femoral neck fractures
| Autor: | Burak Akesen, Fatih Canşah Barışhan, Muhammed Sadık Bilgen, Teoman Atici, Kemal Durak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Medicine (General) total hip arthroplasty survival analyses Clinical Research Reports Arthroplasty Replacement Hip Biochemistry Femoral Neck Fractures 03 medical and health sciences 0302 clinical medicine R5-920 medicine Humans 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Femoral neck fractures Biochemistry (medical) Cell Biology General Medicine medicine.disease Comorbidity mortality cementless arthroplasty Surgery comorbidity Treatment Outcome Radiological weapon Female Hip Joint Hemiarthroplasty Cementless arthroplasty business Total hip arthroplasty |
| Zdroj: | Journal of International Medical Research, Vol 46 (2018) The Journal of International Medical Research |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Objective This study was performed to compare the clinical and radiological outcomes of displaced femoral neck fractures (FNFs) treated with either hemiarthroplasty or total hip arthroplasty (THA) in elderly patients. Morbidity and mortality were also evaluated. Methods Twenty-two patients who underwent hemiarthroplasty and 16 patients who underwent THA for treatment of Garden type 3–4 FNFs from 2012 to 2015 were enrolled in this study. All patients were >65 years of age. Cox regression analysis was performed for mortality evaluation. Results The postoperative blood loss volume, decrease in the hemoglobin level, and transfusion rate were significantly higher in the THA group. The univariate mortality risk was higher in patients with a Charlson comorbidity score of >4, American Society of Anesthesiologists score of >2, Singh index of 1 week. Conclusion This study revealed no significant difference in the short-term clinical and radiological results between cementless hemiarthroplasty and THA in elderly patients with displaced FNFs. However, morbidity and mortality were associated with the presence of additional systemic diseases. THA is the preferred surgical technique in patients with displaced FNFs and low comorbidities. |
| Databáze: | OpenAIRE |
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