Mid-term efficacy and quality of life of total hip hemiarthroplasty and Artificial femoral head replacement for elderly patients with complex intertrochanteric fracture of femur

Abstract

Abstract Objective: To investigate the mid-term effect of total hip hemiarthroplasty (THA) and artificial femoral head replacement in the treatment of complex femoral intertrochanteric fractures in the elderly and its impact on the quality of life. Methods: 100 elderly patients with complex intertrochanteric fracture of femur admitted to our hospital from May 2018 to April 2019 were selected as the subjects of investigation. According to the different treatment methods, they were divided into two groups: 53 patients with total hip replacement (total hip group) and 47 patients with artificial femoral head replacement (Artificial femoral head replacement group). The therapeutic effect, operation time and intraoperative bleeding volume of the two groups were compared. The time of getting out of bed after operation and the complications after operation. The hip function recovery and quality of life were compared between the two groups three months after operation. Results: hemorrhage and blood transfusion occurs less in artificial femoral head replacement group than those in total hip group, the operation time and fracture healing time of femoral head replacement were shorter than those in total hip group as well, and the difference was significant (P<0.05). However, there was no significant difference in weight-bearing time between the two groups (P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05). Before operation, there was no significant difference in Harris score, VAS score and SF-36 scale score between the two groups (P>0.05). After operation, the improvement of each scale score in the two groups was better than before treatment (P<0.05); there was no significant difference in Harris score and SF-36 scale score between the two groups (P>0.05), but the VAS Artificial femoral head replacement bipolar half hip group (P<0.05). Conclusion: Total hip arthroplasty and artificial femoral head replacement can improve hip function and quality of life in elderly patients with complex intertrochanteric fracture of femur. However, artificial femoral head replacement has less intraoperative bleeding, blood transfusion, shorter operation time and fracture healing time. Therefore, artificial femoral head replacement might be a better choice for the elderly patients with complex intertrochanteric fracture of femur.