ArticleBMC surgery2025
Total hip arthroplasty results in better functional outcomes compared to hip hemiarthroplasty for displaced femoral neck fractures.
Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Functional Recovery After Total Hip Arthroplasty Versus Hemiarthroplasty in Elderly Patients with Femoral Neck Fractures: A Prospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal surgical approach for displaced femoral neck fractures (FNF) in elderly patients remains debated. This study compares functional and clinical outcomes between total hip arthroplasty (THA) and hip hemiarthroplasty (HHA) performed by a single surgeon using a standardized anterior approach.
methodsA retrospective single-center analysis included 92 patients (45 HHA, 47 THA) aged ≥ 60 years treated between 2018 and 2020 with ≥ 1-year follow-up. Baseline demographics, operative characteristics, complications, and functional outcomes (Harris Hip Score, HHS) were compared using t-tests, chi-square tests, and multivariable linear regression.
results92 patients were included with 45 in the HHA group and 47 in the THA group. Patients in the HHA group were older (85.4 ± 7.9 vs. 76.5 ± 9.0 years, p < 0.001), had higher ASA scores (2.5 ± 0.6 vs. 1.9 ± 0.6, p < 0.001), and longer time between admission and surgery (2.7 ± 3.3 vs. 1.3 ± 1.1 days, p = 0.004). In addition, despite the shorter operative time (53.0 ± 17.8 vs. 66.1 ± 21.0 min, p = 0.004), HHA patients had a higher rate of death (40% vs. 11%, p = 0.001). Patients in the HHA group also reported lower HHS (73.1 ± 19.8 vs. 91.4 ± 12.1, p < 0.001), with similar results reported in the multivariable regression model (R2 = 0.25).
conclusionTHA provides significantly better functional outcomes and lower mortality than HHA in elderly patients with displaced FNF, even after adjusting for confounders. These results highlight the importance of patient physiological optimization and procedure selection based on overall health rather than age alone.
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