ISSN: 1859 - 2872
five-year outcomes of hemiarthroplasty for femoral neck fracture in elderly patients
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Abstract
Objective: To evaluate the five-year outcomes of hemiarthroplasty for femoral neck fractures in elderly patients. Subject and method: This was a retrospective longitudinal study without a control group. A total of 33 elderly patients with femoral neck fractures who underwent hemiarthroplasty at the Joint Surgery Department, Military Hospital 103 in 2019 and 2020 were included. Result: The mean age was 74.88 ± 8.67 years (range, 61–93), with a male-to-female ratio of 1/3.71. The Barthel Index scores at preoperative assessment, 1 year, and 5 years postoperatively were 96.21 ± 10.23 (60 - 100), 88.5 ± 18.01 (30 – 100), and 92.0 ± 11.29 (60 – 100), respectively. The postoperative complication rate was 15.15%. The 1-year and 5-year mortality rates were 9.1% and 39.4%, respectively. Mortality was significantly associated with ASA classification and postoperative complications, with p-values of 0.02 and 0.039, respectively. Conclusion: Hemiarthroplasty for femoral neck fractures in elderly patients resulted in a Barthel Index score of 92.0 ± 11.29 at 5 years postoperatively. The 5-year mortality rate was 39.4%, and mortality was significantly associated with ASA grade and postoperative complications.
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References
2. Surgeons American Academy of Orthopaedic (2014) Management of Hip Fractures in the elderly. Rosemont, 66.
3. Knauf T, Buecking B, Hack J et al (2019) Development of the Barthel Index 5 years after hip fracture: Results of a prospective study. Geriatrics & Gerontology International. 2019: 1-6.
4. Mahoney FI, Barthel D (1965) Functional evaluation: The Barthel Index. Maryland State Medical Journal 14: 56-61.
5. Tom K, Benjamin B, Juliana H et al (2019) Development of the Barthel Index 5 years after hip fracture: Results of a prospective study. Epidemiology, clinical practice and health. Geriatr Gerontol Int 19(8): 809-814. doi: 10.1111/ggi.13723.
6. Kammerlander C, Gosch M, Kammerlander-Knauer U et al (2011) Long-term functional outcome in geriatric hip fracture patients. Arch Orthop Trauma Surg 131:1435–1444.
7. Nguyễn Thế Điệp, Nguyễn Minh Châu (2023) Đánh giá kết quả phẫu thuật thay khớp háng bán phần Bipolar điều trị gãy cổ xương đùi ở người cao tuổi. Tạp chí Y học Việt Nam 532(2): 65-68.
8. En LG. Robin GL, Juul A et al (2020) Complications following hip fracture: Results from the World hip trauma evaluation cohort study. Injury 51(6): 1331-1336.
9. Hao Y, Wang R, Chen Z et al (2024) One-year mortality risk in older individuals with femoral intertrochanteric fracture: a tertiary center in China. BMC Geriatr 24: 544. https://doi.org/10.1186/s12877-024-05159-y.
10. Panula J, Pihlajamäki H, Mattila VM et al (2011) Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study. BMC Musculoskelet Disord 12(105). doi: 10.1186/1471-2474-12-105.
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