ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH VÀ KẾT QUẢ PHẪU THUẬT THAY KHỚP HÁNG BÁN PHẦN KHÔNG XI MĂNG ĐIỀU TRỊ GÃY CỔ XƯƠNG ĐÙI Ở NGƯỜI CAO TUỔI Ở BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

This study describes the clinical characteristics, imaging findings, and outcomes of cementless hemiarthroplasty for femoral neck fracture in elderly patients. A cross-sectional, retrospective, and prospective study was conducted on 52 patients aged 75 and above at Hanoi Medical University Hospital from January 2022 to March 2024. Outcomes were assessed using the Harris Hip Score, covering factors like pain level, mobility, and postoperative complications. The average age was 82.29 ± 5.21, with a majority of female patients (80.8%), and household accidents accounted for most injuries (90.4%). The most common comorbidities were hypertension (51.9%) and diabetes (28.8%). The average surgical time was 50.00 ± 7.34 minutes, with 53.8% of patients not requiring blood transfusion. After surgery, 100% of patients achieved ≥80% stem fit, with an average hospital stay of 7.62 ± 3.79 days, and 71.5% achieved good or excellent outcomes according to the Harris Hip Score, with 100% pain-free at three months. Cementless hemiarthroplasty is an effective and safe treatment for femoral neck fractures in the elderly, promoting rapid functional recovery, pain reduction, and minimized complications from prolonged bed rest. This approach is particularly suitable for older patients without severe chronic comorbidities, enhancing quality of life post-surgery.