Background: Displaced ‘femoral neck fractures are a serious condition among elderly adults, in which surgery isnormally necessary to regain function and reduce mortality. Two procedures, Total Hip Arthroplasty (THA) andHemiarthroplasty (HA), are most frequently used but best selection is debatable.Aim: To compare the clinical results of HA and THA in elderly patients with displaced femoral neck fracturestreated at a tertiary care Centre in Bihar, India.Methodology: Retrospective observational study included 80 patients aged ≥60 years who were operated witheither THA (n=40) or HA (n=40) for one year. Hospital records provided data, which included demographic data,hospital stay, postoperative complications, revision surgery, and functional outcome by the Harris Hip Score(HHS). Statistical analysis was performed using SPSS v27.Results: Demographically equivalent groups were the groups. Patients undergoing THA had a greater mean HHSat six months (85.1 ± 6.2) than HA patients (76.3 ± 7.5) (p < 0.001). Hospital stay was longer in the THA group(6.7 vs. 5.4 days; p < 0.05). No statistically significant differences were observed between groups in rates ofcomplication or revision surgery.Conclusion: THA offers superior functional outcomes compared to HA in elderly patients, despite longer hospitalstays. HA remains a viable option for frail patients. This study supports individualized surgical decision-makingand provides local data to inform clinical practice in resource-constrained settings.
Sohan et al. (Thu,) studied this question.