Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (9): 1692-1695.doi: 10.3969/j.issn.1673-8225.2012.09.039

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Ideal choice of joint replacement for osteoporotic femoral neck fractures in elderly patients: Hemiarthroplasty or total hip arhtroplasty 

Zhao Yao, Tang Jian, Li Quan-li   

  1. Department of Orthopedics, First Affiliated Hospital of Anhui Medical University, Hefei  230032, Anhui Province, China
  • Received:2011-08-13 Revised:2011-08-31 Online:2012-02-26 Published:2012-02-26
  • About author:Zhao Yao★, Studying for master’s degree, Physician, Department of Orthopedics, First Affiliated Hospital of Anhui Medical University, Hefei 230032, Anhui Province, China no.1zhaoyao@163.com

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Abstract:

BACKGROUND: Femoral neck fractures in the elderly are frequent, especially those suffering from osteoporosis. Hip arthroplasty is the major method for treatment, which includes unipolar or bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA).
OBJECTIVE: To evaluate the clinical effects of HA and THA for femoral neck fractures in patients over 60 years old suffering from osteoporosis.
METHODS: A computer-based online search of Wanfang and PubMed databases was retrieved for articles published between 1990 and 2011 using the keywords of “femoral neck fractures, unipolar hemiarthroplasty, bipolar hemiarthroplasty, total hip arthroplasty” in Chinese and English. Totally 516 articles were retrieved.
RESULTS AND CONCLUSION: Many kinds of surgical methods can be selected for femoral neck fractures in the elderly. By the method of HA, anatomic and functional reduction can hardly be achieved. HA, therefore, should only be selected for patients with low functional demands and limited life expectancy. THA is a better choice than HA, as regard to the functional recovery, pain rate and reoperation rate. In conclusion, THA is the first choice for femoral neck fractures in patients over 60 years old who suffer from osteoporosis.

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