Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (19): 2953-2960.doi: 10.3969/j.issn.2095-4344.2017.19.001

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Postoperative quality of life of internal fixation versus hemiarthroplasty for femoral neck fractures in the elderly  

Hu Jun1, Zhang De-qiang2, Tang Xin2   

  1. 1Puai Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China; 2the First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
  • Online:2017-07-08 Published:2017-08-10
  • Contact: Zhang De-qiang, M.D., Chief physician, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning Province, China
  • About author:Hu Jun, Master, Physician, Puai Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China

Abstract:

BACKGROUND: The treatment strategy for femoral neck fractures has not been confirmed, and choosing internal fixation or arthroplasty remains controversial. After internal fixation, the occurrence of bone nonunion and osteonecrosis of femoral head makes its long-term treatment outcomes far from satisfactory. Can we improve the functional recovery through high-quality reduction, accurate fixation and active postoperative exercise? If so, it may be favorable for the elderly with femoral neck fractures, especially for those combined with other serious diseases.

OBJECTIVE: To compare the quality of life in the elderly with femoral neck fractures after internal fixation and hemiarthroplasty.
METHODS: 148 patients with femoral neck fractures aged more than 60 years old in the First Affiliated Hospital of Dalian Medical University from January 2010 to December 2013 were analyzed retrospectively. The operation time, intraoperative blood loss, hospitalization time, mortality rate, reoperation rate and postoperative quality of life were compared between internal fixation and hemiarthroplasty in the patients with undisplaced femoral neck fractures (Garden type I or II) displaced femoral neck fractures (Garden type III or IV), respectively.
RESULTS AND CONCLUSION: (1) Among 148 patients, 137 cases completed follow-up, and the follow-up rate was 92.6%. (2) The operation time, intraoperative blood loss and hospitalization time in the internal fixation group were significantly superior to those in the hemiarthroplasty group in patients with displaced or undisplaced femoral neck fractures (P < 0.05). (3) There was no significant difference in the mortality rate between two groups, and the reoperation rate in the internal fixation groups was slightly higher than that in the hemiarthroplasty group. (4) The Harris and SF-36 scores in both groups were increased with time, and the difference between two groups was decreased with time, which became equal at 2.5 years postoperatively (P > 0.05). Besides, the time of the patients with undisplaced femoral neck fractures in the internal fixation group achieving the same quality of life with the hemiarthroplasty group was earlier than that of displaced ones. (5) These results suggest that internal fixation holds short operation time, simple operation skills and less trauma in the treatment of femoral neck fractures, and with the development of technology, it can achieve the early functional recovery. Thereafter, it is an effective method for senile femoral neck fractures.

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

Key words: Femoral Fractures, Internal Fixators, Arthroplasty, Replacement, Hip, Quality of Life, Tissue Engineering

CLC Number: