Total Hip Arthroplasty for Posttraumatic Conditions

Lu, Min; Phillips, Dayna

doi:10.5435/jaaos-d-17-00775

Cited by 21 publications

(11 citation statements)

References 38 publications

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“…Computational and Mathematical Methods in Medicine high incidence of underlying disorders, which may have a major influence on the patients' later lives. As a result, for individuals with surgical problems, vigorous surgical therapy is clinically suggested [15,16]. The current clinical treatment measures for femoral neck fracture can be divided into three main categories: nonoperative treatment, internal fixation, and artificial hip replacement [17], among which nonoperative treatment is mainly applied to incomplete fracture or mild symptoms, and the applicable group is mostly young patients.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Clinical Effect after Treatment of Patients with Femoral Neck Fracture Using Total or Hemihip Arthroplasty

Zhao

Zhang²,

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To investigate the difference in clinical outcomes between total hip arthroplasty (THA) and hemiarthroplasty (HA) in patients with femoral neck fracture. Method. To retrospectively analyze 96 patients (96 hips) with femoral neck fracture treated in our hospital and distinguish them into THA group (50 patients with 50 hips) and HA group (46 patients with 46 hips) according to the difference of their chosen surgical procedure, and to compare the difference in perioperative indexes, postoperative hip function, occurrence of near and long-term complications, long-term imaging performance, and revision rate between the two groups. Result. The operating time, intraoperative blood loss, and total drainage were greater in the THA group than in the HA group ( P < 0.05 ). At 6 months after surgery, the Harris score of the hip joint was higher in the HA group than in the THA group. At 3 years after surgery, the Harris score was higher in the THA group than in the HA group ( P < 0.05 ). At 3 years after surgery, the excellent hip function rates were 86.00% and 67.39% in the THA and HA groups, respectively, with statistically significant difference between the groups. The incidence of long-term complications was significantly lower in the THA group than in the HA group ( P < 0.05 ). The anteversion and abduction angles of patients in the HA group were smaller than those in the THA group at 6 months after surgery ( P < 0.05 ). The WOMAC scores of the THA group were better than those of the HA group at 3 years after surgery ( P < 0.05 ). Conclusion. Compared with hemiarthroplasty, total hip arthroplasty has a longer operative time and more postoperative bleeding, but the complication rate is relatively lower in the long term, and the patients have better long-term hip function recovery, so total hip arthroplasty is recommended for patients with femoral neck fracture with an expected survival time longer than 3 years.

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Section: Discussionmentioning

confidence: 99%

Analysis of Clinical Effect after Treatment of Patients with Femoral Neck Fracture Using Total or Hemihip Arthroplasty

Zhao

Zhang²,

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Fractures of the neck of the femur can occur in older people as a result of slight external forces due to osteoporosis and increased brittleness of the bone in old age, making it the most common condition in older people with a high mortality and disability rate [ 3 ]. Total hip arthroplasty (THA) has become a familiar diagnosis and treatment method for orthopedic joint diseases, especially total hip and knee joint replacement [ 4 ]. However, due to the physiological particularity of the elderly, the functional recovery of the bones of patients after fracture is often poor [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

Xue

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the effect of enhanced recovery after surgery (ERAS) combined with comfortable nursing on the quality of life and complications of elderly patients with femoral neck fracture (FNF). Methods. From May 2019 to May 2020, 80 senile FNF patients who admitted to our hospital were treated by total hip arthroplasty (THA). All patients were randomly divided upon admission into a control group (CG) with usual care and a study group (RG) with ERAS combined with comfort care of 40 patients each. The postoperative efficacy was assessed by Harris score of hip joint function, and the psychology was evaluated by self-rating anxiety scale (SAS). The SF-36 score of quality of life, the time of catheter removal, the time of getting out of bed, the hospital stays, the satisfaction of nursing, and the Barthel score of self-care ability were compared between the two groups before and after nursing, and the incidence of postoperative complications was also evaluated. Results. Compared with the CG, the SF-36 score of quality of life and Barthel score of self-care ability in the RG were dramatically higher, while the SAS score of anxiety was dramatically lower. Besides, the time of catheter removal, the time of getting out of bed, and the hospital stays in the RG were dramatically lower ( P < 0.05). Furthermore, the nursing satisfaction and postoperative efficacy of patients in the RG were obviously higher (both P < 0.05), while the incidence of complications in the RG was obviously lower ( P < 0.05). Conclusion. ERAS combined with comfortable nursing can improve the hip joint function, quality of life, and self-care ability scores of senile FNF patients; relieve the anxiety in patients; and reduce the incidence of postoperative complications, which is valuable to be applied extensively.

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“…The clinical manifestations are pain, tenderness, stiffness, joint swelling, limited movement, and joint deformity ( Xia et al, 2014 ; Vincent, 2019 ). Many patients undergo total joint arthroplasty for pain relief and joint function recovery ( Robinson et al, 2018 ; Lu and Phillips, 2019 ). In the United States, 22.7 million activity limitations have been attributed to arthritis, especially to OA ( Frieden et al, 2010 ), and OA also brings a large economic burden to society.…”

Section: Introductionmentioning

confidence: 99%

Causal Relationships Between Osteoarthritis and Senile Central Nerve System Dysfunction: A Bidirectional Two-Sample Mendelian Randomization Study

Cai

Zhang

Liang

et al. 2022

Front. Aging Neurosci.

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BackgroundThe relationship between osteoarthritis (OA) and senile central nervous system dysfunctions (CNSDs), including Parkinson’s disease (PD), Alzheimer’s disease (AD), and ischemic stroke (IS) has gradually attracted attention. At present, the causal relationship between OA and CNSD remains unclear. The aim of this study was to assess the causal effects of CNSD and OA using Mendelian randomization (MR).MethodsGenome-wide association study summary data for CNSD and OA were obtained. Single-nucleotide polymorphisms (SNPs) were selected as instrumental variables (IVs), and significant (P < 5.0 × 10–8) and independent (r2 < 0.1) SNPs were extracted for bidirectional MR analysis. Inverse variance weighted (IVW) was used to assess these causal relationships. The results are reported as odds ratios (ORs). Subsequently, heterogeneity was tested using the Cochran’s Q test, pleiotropy was tested using the MR-Egger intercept, and sensitivity analysis was performed using the leave-one-out sensitivity test.ResultsThe MR results of the causal relationship between PD and OA showed that there was a positive causal effect of OA on PD, which was estimated by IVW (OR = 1.194, 95%CI = 1.036, 1.378; P = 0.0144). Moreover, the MR analysis by IVW also showed that IS had a positive effect on OA (OR = 1.033, 95%CI = 1.002, 1.066; P = 0.0355). These results are reliable and stable, as confirmed by sensitivity tests.ConclusionThis study showed a positive causal effect of OA on PD, but there was a null effect of OA on AD and OA on IS.

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Total Hip Arthroplasty for Posttraumatic Conditions

Cited by 21 publications

References 38 publications

Analysis of Clinical Effect after Treatment of Patients with Femoral Neck Fracture Using Total or Hemihip Arthroplasty

Analysis of Clinical Effect after Treatment of Patients with Femoral Neck Fracture Using Total or Hemihip Arthroplasty

Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People

Causal Relationships Between Osteoarthritis and Senile Central Nerve System Dysfunction: A Bidirectional Two-Sample Mendelian Randomization Study

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