{"title":"Clinical efficacy of THA with dual mobility cup vs. hemiarthroplasty in elderly patients with femoral neck fracture: a retrospective study.","authors":"Kai Xiao, Songyang Liu, Boran Liang, Shuming Li, Xinyan Liu, Jing Chen","doi":"10.3389/fsurg.2025.1507068","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical efficacy of total hip arthroplasty (THA) with or without dual mobility cup (DMC) vs. hemiarthroplasty (HA) in elderly Asian patients with acute femoral neck fracture (FNF).</p><p><strong>Methods: </strong>Data of 284 elderly FNF patients treated at our institution from January 2017 to December 2021 were retrospectively collected. Patients were divided into the DMC-THA group (THA with DMC, <i>n</i> = 102), C-THA group (conventional THA without DMC, <i>n</i> = 88), and HA group (<i>n</i> = 94). The study assessed perioperative outcomes, hip functional recovery, treatment satisfaction, long-term prognosis, and quality of life.</p><p><strong>Results: </strong>The Harris Hip Scores in the DMC-THA group were significantly higher than those in the C-THA and HA groups at 3 months, 6 months, and 1 year postoperatively (<i>P</i> < 0.05). The satisfaction rate in the DMC-THA group (92.2%) was significantly higher compared to the C-THA (81.8%) and HA groups (80.9%) (<i>P</i> < 0.05). At 1 year post-surgery, the DMC-THA group demonstrated a significantly lower dislocation rate (2.0% vs. 9.1%) and superior mobility compared to the C-THA group (<i>P</i> < 0.05). Additionally, the DMC-THA group exhibited significantly better mobility and reduced pain/discomfort compared to the HA group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>THA with DMC offers superior joint function recovery, a lower dislocation rate, and improved quality of life compared to conventional THA and HA, positioning it as a preferred surgical option for elderly patients with acute FNF.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1507068"},"PeriodicalIF":1.6000,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835879/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fsurg.2025.1507068","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To compare the clinical efficacy of total hip arthroplasty (THA) with or without dual mobility cup (DMC) vs. hemiarthroplasty (HA) in elderly Asian patients with acute femoral neck fracture (FNF).
Methods: Data of 284 elderly FNF patients treated at our institution from January 2017 to December 2021 were retrospectively collected. Patients were divided into the DMC-THA group (THA with DMC, n = 102), C-THA group (conventional THA without DMC, n = 88), and HA group (n = 94). The study assessed perioperative outcomes, hip functional recovery, treatment satisfaction, long-term prognosis, and quality of life.
Results: The Harris Hip Scores in the DMC-THA group were significantly higher than those in the C-THA and HA groups at 3 months, 6 months, and 1 year postoperatively (P < 0.05). The satisfaction rate in the DMC-THA group (92.2%) was significantly higher compared to the C-THA (81.8%) and HA groups (80.9%) (P < 0.05). At 1 year post-surgery, the DMC-THA group demonstrated a significantly lower dislocation rate (2.0% vs. 9.1%) and superior mobility compared to the C-THA group (P < 0.05). Additionally, the DMC-THA group exhibited significantly better mobility and reduced pain/discomfort compared to the HA group (P < 0.05).
Conclusion: THA with DMC offers superior joint function recovery, a lower dislocation rate, and improved quality of life compared to conventional THA and HA, positioning it as a preferred surgical option for elderly patients with acute FNF.
目的：比较亚洲老年急性股骨颈骨折（FNF）患者全髋关节置换术（THA）加双活动杯（DMC）与半髋关节置换术（HA）的临床疗效。方法：回顾性收集我院2017年1月至2021年12月收治的284例老年FNF患者资料。患者分为DMC-THA组（含DMC的THA组，n = 102）、C-THA组（不含DMC的常规THA组，n = 88）和HA组（n = 94）。该研究评估了围手术期结果、髋关节功能恢复、治疗满意度、长期预后和生活质量。结果：DMC-THA组术后3个月、6个月和1年Harris髋关节评分明显高于C-THA组和HA组(P P P P P结论：与传统THA和HA相比，DMC联合THA具有更好的关节功能恢复、更低的脱位率和更高的生活质量，使其成为老年急性FNF患者的首选手术选择。
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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