43. ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY LIÊN MẤU CHUYỂN XƯƠNG ĐÙI NGƯỜI CAO TUỔI BẰNG PHẪU THUẬT THAY KHỚP HÁNG TẠI BỆNH VIỆN ĐA KHOA HÒA BÌNH TỈNH HẢI DƯƠNG

Abstract

Objective: To assess outcomes of intertrochanteric femur fractures in elderly patients treated with hip arthroplasty at Hoa Binh General Hospital, Hai Duong province from January 2023 to August 2024.

Subjects and methods: A descriptive study on 63 elderly patients undergoing hip replacement for intertrochanteric fractures who underwent hip replacement surgery at Hoa Binh General Hospital, Hai Duong province.

Results: The average age of patients was 83.6 ± 5.7 years; 28 men, 35 women. The left hip joint is damaged more (54%) than the right hip joint (46%). The average hospital stay was 10.97 ± 1.76 days. Type A2 lesion morphology accounts for the majority (79.4%). Partial hip replacement treatment accounts for 81%. Evaluating treatment results according to the Harris scale, 81% achieved very good and good results; 12.7% achieved good results; 6.3% achieved average results; no bad results. Postoperative complications are mainly joint pain (9.5%).

Conclusions: Partial hip arthroplasty is a highly effective surgical intervention for elderly patients with intertrochanteric femur fractures, providing substantial pain relief and functional restoration. However, long-term follow-up is crucial to monitor the longevity of the prosthetic joint and to detect any potential late-onset complications