Bagcilar Medical Bulletin (Dec 2022)
Outcomes of Femoral Neck Fracture Surgery Compared Elective Total Hip Arthroplasty: Evaluation of 340 Patients
Abstract
Objective:This study aims to determine the frequency of total hip arthroplasty and hemiarthroplasty in patients with femoral neck fractures (FNF); and to identify whether there is a difference between patients who underwent hip arthroplasty with the diagnosis of femoral neck fracture and hip osteoarthritis in terms of demographic characteristics such as age, gender, comorbid diseases and surgical procedures, need for intensive care and mortality.Method:This retrospective study included 340 patients who underwent hip arthroplasty in Antalya Atatürk State Hospital Clinic of Orthopaedics and Traumatology. The patients were first divided into two groups as those who underwent hip arthroplasty due to FNF and due to hip osteoarthritis, and were then compared in terms of study parameters.Results:The mean age of patients operated on due to FNF and hip osteoarthritis was 77.2±10.7 years and 57±13.3 years, respectively. 98.3% of patients underwent unilateral hip replacement (HR) and 97.8% of them partial HR; 83.5% unilateral and 100% total HR due to FNF and hip osteoarthritis, respectively (all p<0.001). Length of hospital stay was found to be statistically significantly higher in patients operated for hip osteoarthritis (p=0.005), while the need for intensive care unit admission (p<0.001) and mortality rate (p=0.011) was higher in FNF patients.Conclusion:Almost all of patients who underwent hip arthroplasty due to FNF received partial HR. Patients with FNFs appear to be at higher risk in terms of mortality and morbidity due to their demographic and clinical characteristics, in addition to comorbidities and also hemodynamic disorders that may occur secondary to trauma. It is, therefore, necessary to contribute to reducing morbidity and mortality by taking preoperative and postoperative precautions and maintaining careful follow-up care.
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