Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture
Abstract Background For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of de...
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| Format: | Article |
| Language: | English |
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BMC
2020-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03521-w |
| _version_ | 1819020101984190464 |
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| author | Jidong Song Gensheng Zhang Jialin Liang Chuanyi Bai Xiaoqian Dang Kunzheng Wang Caiyou He Ruiyu Liu |
| author_facet | Jidong Song Gensheng Zhang Jialin Liang Chuanyi Bai Xiaoqian Dang Kunzheng Wang Caiyou He Ruiyu Liu |
| author_sort | Jidong Song |
| collection | DOAJ |
| description | Abstract Background For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of delayed hip arthroplasty on hip function, quality of life, and satisfaction in patients with femoral neck fractures. Methods Forty-seven patients with femoral neck fracture and hip replacement delayed over 21 days served as the delayed group (D group). Patients with femoral neck fracture, matched 1:1 for age and sex, and hip replacement within 7 days served as the control group (C group). The Harris hip score (HHS) and health-related quality of life (HRQoL) were assessed before surgery and 3 months, 6 months and 1 year postoperatively. The satisfaction questionnaires were completed by the patients themselves at the last follow-up. Results The HHS in the C group was lower than that in the D group (32.64 ± 9.11 vs. 46.32 ± 9.88, P < 0.05) before surgery but recovered faster after surgery. The HHS in the D group was lower than that in the C group 1 year postoperatively (85.2 ± 3.80 vs. 89.8 ± 3.33, P < 0.05). The patients’ quality of life changed similarly to their HHS. The HHS 1 year after surgery was related to the preoperative HHS in group D (rs = 0.521, P < 0.01). Patients in the D group showed significantly higher satisfaction scores than those in the C group (P < 0.05). Conclusions Hip function in patients with femoral neck fracture surgery delayed over 21 days recovered more slowly than that in those who underwent surgery within 7 days. However, they were more satisfied with the surgery. Moderate hip movement to ameliorate the lower limb muscle atrophy was recommended for patients facing a temporary inability to undergo surgery. |
| first_indexed | 2024-12-21T03:45:52Z |
| format | Article |
| id | doaj.art-11ab8308e5b74961acd3e0da25ba66ba |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-21T03:45:52Z |
| publishDate | 2020-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-11ab8308e5b74961acd3e0da25ba66ba2022-12-21T19:17:05ZengBMCBMC Musculoskeletal Disorders1471-24742020-07-012111710.1186/s12891-020-03521-wEffects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fractureJidong Song0Gensheng Zhang1Jialin Liang2Chuanyi Bai3Xiaoqian Dang4Kunzheng Wang5Caiyou He6Ruiyu Liu7Department of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong University3201 Hospital of Xi’an Jiaotong University Health Science Center, Xi’an Jiaotong UniversityDepartment of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong UniversityDepartment of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong UniversityDepartment of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong UniversityDepartment of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong UniversityDepartment of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong UniversityDepartment of Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an Jiaotong UniversityAbstract Background For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of delayed hip arthroplasty on hip function, quality of life, and satisfaction in patients with femoral neck fractures. Methods Forty-seven patients with femoral neck fracture and hip replacement delayed over 21 days served as the delayed group (D group). Patients with femoral neck fracture, matched 1:1 for age and sex, and hip replacement within 7 days served as the control group (C group). The Harris hip score (HHS) and health-related quality of life (HRQoL) were assessed before surgery and 3 months, 6 months and 1 year postoperatively. The satisfaction questionnaires were completed by the patients themselves at the last follow-up. Results The HHS in the C group was lower than that in the D group (32.64 ± 9.11 vs. 46.32 ± 9.88, P < 0.05) before surgery but recovered faster after surgery. The HHS in the D group was lower than that in the C group 1 year postoperatively (85.2 ± 3.80 vs. 89.8 ± 3.33, P < 0.05). The patients’ quality of life changed similarly to their HHS. The HHS 1 year after surgery was related to the preoperative HHS in group D (rs = 0.521, P < 0.01). Patients in the D group showed significantly higher satisfaction scores than those in the C group (P < 0.05). Conclusions Hip function in patients with femoral neck fracture surgery delayed over 21 days recovered more slowly than that in those who underwent surgery within 7 days. However, they were more satisfied with the surgery. Moderate hip movement to ameliorate the lower limb muscle atrophy was recommended for patients facing a temporary inability to undergo surgery.http://link.springer.com/article/10.1186/s12891-020-03521-wDelayed femoral neck fractureHip replacementFunctionQuality of life |
| spellingShingle | Jidong Song Gensheng Zhang Jialin Liang Chuanyi Bai Xiaoqian Dang Kunzheng Wang Caiyou He Ruiyu Liu Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture BMC Musculoskeletal Disorders Delayed femoral neck fracture Hip replacement Function Quality of life |
| title | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
| title_full | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
| title_fullStr | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
| title_full_unstemmed | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
| title_short | Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
| title_sort | effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture |
| topic | Delayed femoral neck fracture Hip replacement Function Quality of life |
| url | http://link.springer.com/article/10.1186/s12891-020-03521-w |
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