LONG-TERM RESULTS OF HEMIARTHROPLASTY IN THE TREATMENT OF INTERTROCHANTERIC FRACTURE

Tóm tắt

Objectives: To evaluate the long-term outcomes of patients ≥ 70 years old with intertrochanteric fractures treated with hemiarthroplasty. Methods: A retrospective longitudinal, uncontrolled study was conducted on 40 patients aged > 70 years with intertrochanteric fractures who underwent hemiarthroplasty in the Joint Surgery Department, Trauma and Orthopaedics Center, Military Hospital 103 in 2019 and 2020. Complications, Barthel index (BI), and mortality rate (at 30 days, 1 year, and 5 years after surgery) were recorded. Results: The mean age of patients was 82.0 ± 6.31 years (range: 70 - 93 years). 25% (10/40) of the patients sustained complications. The most common complication was delirium (4/40 of the patients). 38 patients (95%) survived at 1 year postoperatively, and 28 patients (70%) survived at 5 years postoperatively. The mean BI was 90.66 ± 14.76 (range: 35 - 100) at 1 year, and 88.39 ± 16.83 (range: 35 - 100) at 5 years after surgery. Conclusion: Patients ≥ 70 years of age with intertrochanteric fractures who underwent hemiarthroplasty had a BI score of 88.39 ± 16.83 at 5 years postoperative, and a 5-year mortality rate of 30%. Postoperative complications were associated with a higher long-term mortality rate.