KẾT QUẢ THAY KHỚP HÁNG BÁN PHẦN KHÔNG XI MĂNG ĐIỀU TRỊ GÃY CỔ XƯƠNG ĐÙI Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN CHẤN THƯƠNG CHỈNH HÌNH NGHỆ AN

Abstract

Objective: Describe clinical and paraclinical characteristics and evaluate treatment results of femoral neck fractures in the elderly.Subjects and methods: Cross-sectional study of 95 patients over 70 years old with femoral neck fractures who underwent cementless partial hip replacement at Nghe An Orthopedic and Trauma Hospital from March 2021 to September 2022. Results: The average age of the study subjects was 80.68±6.86, the 80-89 year old group accounted for 47.37%. The majority were women, accounting for 70.53%. The proportion of patients with concomitant hypertension was quite high, accounting for 37.89%, followed by diabetes, accounting for 24.21%. Injuries due to domestic accidents accounted for 97.89%. Osteoporosis grade III accounted for the majority (56.84%) according to the Singh classification. The majority of patients had grade III and IV fractures according to Garden with more than 90%. All patients had no postoperative complications. According to the Harris scale, more than half of the patients (52.6%) were rated as good, with only 2 cases accounting for 5.3% of patients being rated as poor. Conclusions: Cementless partial hip replacement surgery is one of the effective solutions for treating femoral neck fractures in the elderly.