2023-09-262023-09-262018-03-21Barışhan, F. C. vd. (2018). ''Comparison of hemiarthroplasty and total hip arthroplasty in elderly patients with displaced femoral neck fractures''. Journal of International Medical Research, 46(7), 2717-2730.0300-06051473-2300https://doi.org/10.1177/0300060518770354https://journals.sagepub.com/doi/10.1177/0300060518770354http://hdl.handle.net/11452/34068Objective This study was performed to compare the clinical and radiological outcomes of displaced femoral neck fractures (FNFs) treated with either hemiarthroplasty or total hip arthroplasty (THA) in elderly patients. Morbidity and mortality were also evaluated. Methods Twenty-two patients who underwent hemiarthroplasty and 16 patients who underwent THA for treatment of Garden type 3-4 FNFs from 2012 to 2015 were enrolled in this study. All patients were >65 years of age. Cox regression analysis was performed for mortality evaluation. Results The postoperative blood loss volume, decrease in the hemoglobin level, and transfusion rate were significantly higher in the THA group. The univariate mortality risk was higher in patients with a Charlson comorbidity score of >4, American Society of Anesthesiologists score of >2, Singh index of <3, and postoperative hospitalization of >1 week. Conclusion This study revealed no significant difference in the short-term clinical and radiological results between cementless hemiarthroplasty and THA in elderly patients with displaced FNFs. However, morbidity and mortality were associated with the presence of additional systemic diseases. THA is the preferred surgical technique in patients with displaced FNFs and low comorbidities.eninfo:eu-repo/semantics/openAccessResearch & experimental medicinePharmacology & pharmacyFemoral neck fracturesCementless arthroplastyHemiarthroplastyTotal hip arthroplastyComorbidityMortalitySurvival analysesBipolar hemiarthroplastyIntracapsular fractureFollow-upCemented hemiarthroplastyIndependent patientsFemur fracturesMortalityComplicationsReplacementMetaanalysisAgedAged, 80 and overArthroplasty, replacement, hipFemaleFemoral neck fracturesHemiarthroplastyHip jointHumansMaleRetrospective studiesTreatment outcomeArticle0004391063000222-s2.0-850504040222717273046729708038Medicine, research & experimentalPharmacology & pharmacyFemoral Neck Fractures; Hip Replacement; Femur NeckHemoglobinAcetabular erosionAgedAmerican Society of Anesthesiologists scoreArticleBarthel indexBlood transfusionBlood volumeCharlson comorbidity IndexClinical articleConservative treatmentDisease associationDisease classificationFemaleFemoral neck fractureFemur fractureGastrointestinal hemorrhageHarris hip scoreHemoglobin blood levelHeterotopic ossificationHip arthroplastyHip dislocationHip hemiarthroplastyHospitalizationHumanIntermethod comparisonLung embolismMaleMorbidityMortality riskOperation durationOperative blood lossOutcome assessmentPeriprosthetic fracturePneumoniaPostoperative hemorrhagePostoperative infectionProsthesis complicationRetrospective studySciatic nerve injuryScoring systemSingh indexStem migrationSurgical mortalitySurgical techniqueSystemic diseaseTherapy effectUrinary tract infectionComparative studyFemoral neck fractureHemiarthroplastyHipHip replacementTreatment outcomeVery elderly