Outcomes Comparison in the Management of Displaced Femoral Neck Fractures among Elderly Patients: Total Hip Arthroplasty versus Bipolar Hemiarthroplasty
Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2024, Vol 68, Issue 1
Abstract
Treating femoral neck fractures in the elderly demands careful strategies for optimal results. This review explores into the roles of total hip arthroplasty (THA) and bipolar hemiarthroplasty (BHA) in addressing these fractures, considering their distinct advantages. THA, catering to active elderly patients, delivers excellent pain relief, enhanced mobility, and sustained functionality. In contrast, BHA presents a more conservative option suitable for less mobile patients. Factors like surgery time and dislocation risks play a crucial role in selecting between the two options, while postoperative complications, including infections and joint issues, significantly impact recovery. Adequate post-surgical care and advancements in techniques are pivotal for overcoming these challenges. Continuous research and enhancements in diagnostic methods and post-surgical care are critical for refining strategies, ultimately improving the recovery and quality of life for elderly patients.
Authors and Affiliations
Somchai Taosuwan, Varah Yuenyongviwat
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