ArticleJoint diseases and related surgery2022
The effect of surgical technique on cognitive function in elderly patients with hip fractures: Proximal femoral nailing versus hemiarthroplasty.
Article in Joint diseases and related surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Clinical and Inflammatory Determinants of Postoperative Delirium After Hip Fracture Surgery: A Retrospective Cohort Study of 962 Patients.Medicina (Kaunas, Lithuania) · 2026Article
- Effects of intraoperative body temperature, blood pressure, cerebral tissue oxygenation, and anesthesia type on postoperative cognitive functions in geriatric arthroplasty surgery for hip fracture.Joint diseases and related surgery · 2024Observational
- Establishment of a predictive model for blood transfusion after femoral head replacement in elderly patients.Joint diseases and related surgery · 2024Article
- The effects of dexmedetomidine on postoperative cognitive dysfunction in rats with bone fractures undergoing open reduction.American journal of translational research · 2024Article
- A prediction model for osteonecrosis of femoral head after internal fixation with multiple cannulated compression screws for adult femoral neck fractures.Joint diseases and related surgery · 2024Article
- Preoperative computed tomography morphological characteristics of displaced femoral neck fractures.Joint diseases and related surgery · 2023Article
- A novel feasible technique for rapid removal of broken proximal femoral nails: A case series.Joint diseases and related surgery · 2023Article
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Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to compare the effects of hemiarthroplasty (HA) and proximal femoral nailing (PFN) on postoperative cognitive function in elderly adults with hip fractures. PATIENTS AND
methodsBetween August 2021 and January 2022, a total of 49 patients (28 males, 21 females; mean age: 78.1±9.4 years; range, 65 to 96 years) presented with a proximal femoral fracture were included. The patients were divided into two groups based on the type of surgical technique used. Group 1 consisted of 23 patients who underwent cemented HA, while Group 2 consisted of 26 patients who underwent osteosynthesis with a PFN. Preoperatively (24 h before surgery), within the first week (Days 4 to 7), and at one month following surgery, the MiniMental State Examination (MMSE) was applied.
resultsThe surgery side and duration of surgery were not significantly different between the two groups (p>0.05); however, the length of hospital stay and estimated blood loss were significantly different (p<0.001) in favor of Group 2. When the decline in MMSE scores from preoperative to postoperative was assessed, it was shown that group 2 had a lesser decrease.
conclusionPatients with hip fractures who underwent PFN surgery experienced less postoperative cognitive impairment than those who underwent HA surgery.
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