Comparison of Functional Outcomes and Associated Complications in Patients Who Underwent Total Hip Arthroplasty for Femoral Neck Fracture in Relation to Their Underlying Medical Comorbidities / 대한고관절학회지
Hip & Pelvis
;
: 232-237, 2019.
Article
in English
| WPRIM
| ID: wpr-763980
ABSTRACT
PURPOSE:
In patients with independent mobility, full hip range of motion and sufficient muscle strength for daily life without cognitive impairment, treatment of a femoral neck fracture with total hip arthroplasty (THA) may be a better option compared to bipolar hip hemiarthroplasty. Here, functional outcomes and complications in patients who underwent THA for femoral neck fracture based on their comorbidity status were analyzed. MATERIALS ANDMETHODS:
Between January 2013 and December 2018, 110 patients were treated with THA for femoral neck fractures at our institution. These patients were retrospectively analyzed for clinical outcomes at final follow-up (mean=24.4 months, range 6–81 months) using the Harris hip score (HHS) and the presence or absence of two potential comorbidities i) diabetes mellitus (DM; 35 with and 75 without) and ii) hypertension (HTN; 50 with and 60 without).RESULTS:
The incidence of superficial infections at the surgical site in patients with DM was significantly higher compared with patients without DM (P=0.024). There were no significant differences in other potential complications based on DM status. HHS at final follow-up between patients with and without DM and with and without HTN were not significantly different (83.3 vs. 81.0, P=0.39 and 81.6 vs. 82.4, P=0.75, respectively).CONCLUSION:
Superficial infections occurred more frequently in patients with DM compared with patients without DM. DM and HTN status are not correlated with HHS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Comorbidity
/
Incidence
/
Retrospective Studies
/
Follow-Up Studies
/
Range of Motion, Articular
/
Cognition Disorders
/
Arthroplasty, Replacement, Hip
/
Diabetes Mellitus
/
Muscle Strength
/
Femoral Neck Fractures
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Hip & Pelvis
Year:
2019
Type:
Article
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