Abstract
Background Worldwide, total hip arthroplasty (THA) has become one of the most commonly performed surgical procedures. Femoral neck fracture (FNF) and osteoarthritis (OA) are two of the medical conditions necessitating a hip replacement, most frequently carried out. The preoperative and postoperative pathways for patients suffering from these two diseases differ, yet worldwide, many national healthcare systems underestimate or misinterpret the (more than nuanced) care plan differences of the two. Factors and Criteria. Analyzed material was gathered from studies published between 2013 and 2019. Various strands of data demographics, comorbidities, and complications, as well as treatment outcomes, were tabulated to compare and contrast THA patients suffering from FNF and OA to collate their findings. Outcomes were cross-checked and validated for reliability and then were presented in a table format. Results All five retrospective cohort studies fitted the required criteria for inclusion in this work, four US-based study groups and one European-based study group. Data were gathered from three separate databases. The “average” FNF patient is 76.8 years old. There was a 68.96% female probability. The “average” OA patient is 69.15 years old. There was a 5.24% female probability. 59.57% operated for athrosis, and only 34.63% operated for fracture which received grade lower than the third in the American Society of Anaesthesiologist (ASA) classification. There was more than 3 times higher prevalence of complications in the trauma group. FNF patients' hospitalization was approximately 3 days longer. On average, 3.7% of patients operated for trauma and 1.5% of patients with elective THA required a second surgery. 6.57% FNF and 2.93% OA patients had unplanned readmission. Conclusions In general, patients who suffer a femoral neck fracture are an extremely fragile group. They require additional perioperative and postoperative care. To meet these desired expectations, more FNF cost-comprehensive systems need to be initiated.
Highlights
Factors that were studied in mentioned publications can be divided into four groups: demographic, comorbidities, complications, and outcome. e approaches in data collection chosen by the authors were not identical, yet similarities in their study design allow some degree of data comparison
Based on publications written by Charles et al and Charette et al, on average, 34.63% of patients undergoing surgery for femoral neck fracture and 59.57% of arthrosis patients were classified as American Society of Anaesthesiologist (ASA) I + II. 65.37% treated for Femoral neck fracture (FNF) and 40.03% operated for OA were classified as ASA III + IV
Five publications were included in this study, and despite varying approaches to the subject, they all agree on the fact that FNF and OA patient groups differ in many ways
Summary
Total hip arthroplasty (THA), due to its application in both osteoarthritis (OA) and displaced femoral neck fracture (FNF), has become a frequent orthopedic procedure worldwide. The latest studies indicate that dual-mobility total hip arthroplasty (DM THA) nullifies the dislocation disadvantage, and THA remains a preferred treatment method in FNF in active elderly patients [7, 8]. Total hip arthroplasty (THA) has become one of the most commonly performed surgical procedures. Femoral neck fracture (FNF) and osteoarthritis (OA) are two of the medical conditions necessitating a hip replacement, most frequently carried out. Various strands of data demographics, comorbidities, and complications, as well as treatment outcomes, were tabulated to compare and contrast THA patients suffering from FNF and OA to collate their findings. To meet these desired expectations, more FNF cost-comprehensive systems need to be initiated
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