Abstract
Background
Postoperative complications and perioperative transfusions are common after hemiarthroplasty or total hip arthroplasty (THA) and can lead to increased morbidity and mortality.Methods
The National Surgical Quality Improvement Program Database was queried to compare 30-day major complications and perioperative transfusions after femoral neck fractures.Results
A total of 4058 patients were included in the study: 3192 were treated with hemiarthroplasty and 866 with THA. Multivariable logistic regression analysis revealed that having a THA was not an independent risk factor for major complications (odds ratio = 0.8, P = .18) but was an independent risk factor for requiring transfusions (odds ratio = 1.68, P < .001).Conclusion
The risk of major complications is influenced by patient factors rather than the choice of procedure. However, THA was a risk factor for transfusions after controlling for all other variables.Citations & impact
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Article citations
Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty.
BMC Musculoskelet Disord, 25(1):141, 14 Feb 2024
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Risk factors for urinary tract infection in geriatric hip fracture patients: a systematic review and meta-analysis.
Front Med (Lausanne), 11:1360058, 09 Feb 2024
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Review
Free full text in Europe PMCSurgical drain has no benefits in hemiarthroplasty for femoral neck fractures in elderly patients.
Sci Rep, 13(1):21422, 05 Dec 2023
Cited by: 0 articles | PMID: 38049442 | PMCID: PMC10696039
Clinical Effectiveness of Total Hip Arthroplasty Compared With Hemiarthroplasty in Adults Undergoing Surgery for Displaced Intracapsular Hip Fracture: A Single-Centre Retrospective Cohort Study.
Cureus, 15(9):e45807, 23 Sep 2023
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Infection after intracapsular femoral neck fracture - does antibiotic-loaded bone cement reduce infection risk after hemiarthroplasty and total hip arthroplasty?
Bone Joint Res, 12(5):331-338, 16 May 2023
Cited by: 3 articles | PMID: 37191182 | PMCID: PMC10186553
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