Key result
THA linked to a ~9 point improvement in six-month Harris hip scores for older patients.
Why the study?
The incidence of femoral neck fractures is increasing continuously among the aging population, with hip fractures expected to rise from 1.7 million in 1990 to 6.3 million by 2050.
Does THA improve functional outcome (Harris hip score) in patients aged above 60 years with acute fracture neck of femur?
Observational (n=40)
No
Does THA improve functional outcome (Harris hip score) in patients aged above 60 years with acute fracture neck of femur?
Answers are grounded in this paper and cite their sources.
THA provides significant functional improvement over 6 months in patients over 60 with acute femoral neck fractures.
The incidence of femoral neck fractures is increasing continuously among the aging population. The numbers of hip fracture are expected to increase from 1.7 million in 1990 to 6.3 million during the year 2050. The femoral neck fractures and pertrochanteric fractures are of approximately equal incidence and together make up to 90% of the proximal femur fractures and the remaining 5 – 10% is subtrochanteric. A total 40 patients with acute fracture of neck of femur aged above 60 years treated with THA attending the Department of Orthopedics, constituted the sample size. The sample size was calculated by assuming a Harris hip score of 81 points with a standard deviation of 5, with a relative precision of 2% (Alpha of 5%, 95% confidence interval). The Harris hips score was 81.82 at the end of 6 months of follow up, 86.07 at the end of 3 months and 91.1 at the end of 6 months. The mean difference in Harris Hip score between the 6 weeks versus 3 months was 4.25, 9.27 between 6 weeks versus 6 months and 5.02 between 3 months versus 6 months. There was a statistically significant difference in the Harris Hip score in the period of follow up.
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. et al. (2019) conducted an observational in Acute fracture neck of femur (n=40). Total Hip Arthroplasty (THA) was evaluated on Harris hip score at 6 months (MD 9.27, p=<0.001). Total hip arthroplasty in patients over 60 years with acute femoral neck fractures significantly improved functional outcomes, with the mean Harris hip score increasing by 9.27 points from 6 weeks to 6 months.
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