Comparative Study on Surgical Approaches for Elderly Femoral Neck Fractures

Fujian Provincial Hospital102 enrolled

Overview

A prospective controlled study was conducted to include patients who received hip replacement surgery for femoral neck fractures at the National Regional Trauma Center in Fujian Province from February 2023 to August 2024. Patients were randomly divided into the DAA group and the PLA group based on different surgical methods for a 3-month follow-up to compare the outcomes of the two groups. The main observation results include Harris hip joint function score (preoperative, postoperative 1 week, 1 month, 3 months), VAS pain score (preoperative, postoperative 1 week, 1 month, 3 months), and secondary observation results include surgical time, intraoperative blood loss, blood transfusion rate, difference in HB before and after surgery, difference in CK before and after surgery, perioperative complications, difference in length of both lower limbs after surgery, postoperative drainage volume, postoperative ICU occupancy rate, ICU length of stay, and total length of stay.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

102

Conditions

Function Pain

Interventions

Eligibility

Sex: ALLMin age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age ≥ 80 years old; 2. Diagnosed with unilateral femoral neck fracture through imaging examination; 3. Patients who can tolerate surgery and agree to undergo surgery; 4. Undergoing hemiarthroplasty (HA) for the first time; 5. Able to walk independently and have intact cognitive function before the injury. Exclusion Criteria: 1. Bilateral femoral neck fractures; 2. Patients with pathological fractures; 3. Hip dysplasia, rheumatoid osteoarthritis, or other hip disorders; 4. Patients with systemic or localized infections or inflammatory reactions at the surgical site; 5. Patients with other lower limb fractures or severe injuries to other parts of the body; Patients with a history of previous hip surgery.

Outcomes

Primary Outcomes

Harris hip joint function score

Scores range from 100 to 0, with 90-100 being excellent, 80-89 being good, 70-79 being acceptable, and ≤69 being poor.

Time frame: 1 week, 1 month, and 3 months after surgery

VAS pain score

The highest score is 10 and the lowest score is 0, with the following interpretations: 0 points indicating no pain; 1-3 points indicating mild pain with little impact on daily life; 4-6 points indicating moderate pain affecting daily life and sleep; 7-9 points indicating severe pain significantly affecting quality of life; and 10 points indicating unbearable, extreme pain.

Time frame: 1 week, 1 month, and 3 months after surgery

Secondary Outcomes

Operative time

Time frame: Intraoperative

Intraoperative bleeding volume

Time frame: Intraoperative

Intraoperative blood transfusion rate

Time frame: Intraoperative

Hemoglobin value

Time frame: Preoperative and postoperative 1 day

Blood creatine kinase value

Time frame: Preoperative and postoperative 1 day

Incidence of complications

Time frame: Perioperative period

Difference in length of both lower limbs

Time frame: 3 days after surgery

Postoperative drainage volume

Time frame: 24 hours after surgery

Hospital stay

Time frame: The duration (in days) from admission to discharge, estimated to be no more than 21 days at most.

Mortality

Time frame: 3 months after surgery

Comparative Study on Surgical Approaches for Elderly Femoral Neck Fractures

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes