Algimantas Čebatorius, Kazimieras Grigaitis, Vytautas Staniulis, Vidmantas Žegunis
Introduction. Femoral neck fracture is a clinically relevantproblem, which can be treated several ways.Aim of the study: To analyze the influence of different femoralneck fracture treatment methods on patient mortality and qualityof life.Materials and methods: A retrospective analysis was conductedin Klaipeda University Hospital during the period from 2008 to2013. There were analyzed 568 case histories of patients after afemoral neck fracture. 104 patients were removed from the study.Patients were divided into four groups: total hip replacement group,hemiarthroplasty group, osteosynthesis group and conservativetreatment group.Results: There were investigated 464 case histories. 332 (72%)of the patients were woman and 132 (28%) man. The age of patientsaveraged 75±12 years. Results revealed the lowest mortality ratein total hip replacement group (p<0,05). Total hip replacementand osteosynthesis groups had significantly less pain (p<0,05).Patients of total hip replacement group showed better scores inHOOS scale comparing with patients from hemiartroplasty group(p<0,05). The answers of RQ-5D reflected the best quality of lifein total hip replacement and osteosynthesis groups.Conclusions: The rates of mortality after femoral neckfracture significantly depends on chosen treatment method. Thebest quality of life was observed in total hip replacement usingExeter endoprosthesis and osteosynthesis using Ulleval screwsgroups comparing with hemiarthroplasty with Austin-Mooreendoprosthesis and conservative treatment groups.
Keyword(s): femoral neck fracture, hip joint replacement, osteosintesis
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