Evaluating functional recovery after cemented Thompson arthroplasty in economically disadvantaged patients with femoral neck fractures

Abstract

Background: The high morbidity, death, and expense of healthcare associated with hip fractures in the elderly continue to make them a major global health concern. As one of the most prevalent types of hip fractures, femoral neck fractures often need surgical care because of their propensity for avascular necrosis and nonunion. Cemented Thompson arthroplasty is very beneficial for elderly patients with reduced physiological reserves.

Objectives: To evaluate the functional outcomes of cemented Thompson arthroplasty in patients presenting with femoral neck fractures at a tertiary care hospital.

Methods: An observational study was conducted on 62 patients aged 50-80 years with femoral neck fractures. All patients underwent cemented Thompson arthroplasty, and follow-up assessments were conducted over four months. Functional outcomes were measured using the Harris Hip Score (HHS). Factors like smoking status and gender were stratified for further analysis.

Results: The mean age of the study population was 61.44 ± 6.03 years, with males comprising 66.13% of the sample. The average Haris Hip Score was 78.97 ± 5.31. Smokers exhibited significantly lower HHS compared to non-smokers (p=0.002). However, no statistically significant differences were found in outcomes based on age or gender.

Conclusion: Cemented Thompson arthroplasty achieved satisfactory functional results, as reflected by the Harris Hip Score, making it a viable option for treating elderly patients with femoral neck fractures.