Comparative mid-term outcomes of hemiarthroplasty and internal fixation in treating senile femoral intertrochanteric fractures: a retrospective cohort study
Retrospective cohort reveals that hemiarthroplasty improves recovery and lowers mortality in elderly with fractures, indicating surgical choices matter.
Key Points
This study compares the effectiveness of hemiarthroplasty and internal fixation in elderly patients with intertrochanteric fractures, focusing on outcomes and mortality.
Conducted a retrospective analysis of 192 elderly patients with unilateral femoral intertrochanteric fractures.
117 patients received internal fixation (IF) and 75 underwent hemiarthroplasty (HA).
Compared operation time, hospital stay, complication rates, and postoperative mortality between the two groups.
Used univariate analysis and Cox proportional hazards model to identify risk factors for mortality.
The HA group had a significantly lower incidence of postoperative complications and mortality than the IF group.
One year after surgery, the HA group showed higher Harris hip scores and better overall survival rates.
Factors influencing postoperative mortality included surgical method, ASA score, number of comorbidities, and blood transfusion rate.
Multivariate analysis indicated that IF, high ASA score, and multiple comorbidities were independent risk factors for mortality.