Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 12

Hip Arthroplasty Done for Osteoarthritis vs. Hip Fractures: A Comparison

Dheeraj Panchaksharam Selvarajan*, Gaurav Gurung, Abhishek Thanuja Jayadhar and Mr Ashwin Unnithan

Department of Trauma and Orthopaedics, University/Organization: Ashford and St. Peter’s Hospital NHS Foundation Trust, United Kingdom

*Corresponding Author: Dheeraj Panchaksharam Selvarajan, Department of Trauma and Orthopaedics, University/Organization: Ashford and St. Peter’s Hospital NHS Foundation Trust, United Kingdom.

Received: October 14, 2022; Published: November 13, 2022

Abstract

Introduction: Osteoarthritis and femoral neck fractures are two important entities which are indications for hip arthroplasties and cause a significant burden to the healthcare system. It is imperative to compare the patient characteristics and operative complications in both these cohorts and whether existing NICE guidelines for patient selection is appropriate.

Materials and Methods: 300 patients’ data from a district general hospital in Surrey, United Kingdom was retrospectively studied and analyzed.

Results: From our study, it was clear that women suffered more hip fractures than men. Average length of hospital stay was higher in the group that received Hip Hemi-arthroplasty compared to the patients who received a Total Hip Arthroplasty (12.7 ± 9 vs 8.2 ± 3.9 days). Institutionalized patients were more likely to have HHA compared to those living in their own homes (p-value < .05). Patients who were selected for HHA had higher mortality rates (53%) during our follow up period compared to those selected for THA. The post-operative dislocation rates were comparable and not statistically significant

Conclusion: Careful patient selection for the type of arthroplasty through existing NICE guidelines has proved beneficial for patients in terms of length of hospital stay and post-operative morbidity and mortality. There is still a need for clearer follow-up guidelines for patients suffering from a hip fracture, which needs to be worked up in detail.

Keywords: Osteoarthritis; Arthroplasty; Fractures

References

  1. The State of Musculoskeletal Health 2021-Arthritis and other musculoskeletal conditions in numbers
  2. Osteoarthritis in general practice | Arthritis Research UK.
  3. Royal College of Physicians Facing new challenges — the NHFD report on 2020 (January–December 2020). London: RCP, (2021).
  4. Parker_MJ and Handoll_HHG. “Replacement arthroplasty versus internal fixation for extracapsular hip fractures in adults”. Cochrane Database of Systematic Reviews 2 (2006): CD000086.
  5. Hip fracture: management - Clinical guideline - 22 June (2011).
  6. Kalliopi Alpantaki., et al. “Gender and Age Differences in Hip Fracture Types among Elderly: a Retrospective Cohort Study”. Maedica – a Journal of Clinical Medicine2 (2020): 185-190.
  7. Meng-Xia Ji and Qi Yu. “Primary osteoporosis in postmenopausal women”. Chronic Diseases and Translational Medicine 1 (2015): 9e13.
  8. Inderpal Singh., et al. “Relationship of Prevalent Fragility Fracture in Dementia Patients: Three Years Follow up Study”. Geriatrics 5 (2020): 99.
  9. Olivier Guyena. “Hemiarthroplasty or total hip arthroplasty in recent femoral neck fractures?” Orthopaedics and Traumatology: Surgery and Research 105 (2019): S95-S101.
  10. Ian D Learmonth., et al. “The operation of the century: total hip replacement”. Lancet 370 (2007): 1508-1519.
  11. N Parsons., et al. “Costa Outcome assessment after hip fracture IS EQ-5D THE ANSWER?” Bone and Joint Research 3 (2014): 69-75.
  12. Jill Dawson., et al. “Questionnaire on the perceptions of patients about total hip replacement”. Journal of Bone and Joint Surgery [Br] 78-B (1996): 185-190.
  13. The Oxford Hip Score – A Guide to the New Scoring System, © Isis Innovation Limited (2007).
  14. James M McLean., et al. “Normal population reference values for the Oxford and Harris Hip Scores – electronic data collection and its implications for clinical practice”. Hip International4 (2017): 389-396.
  15. Harada S., et al. “Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study”. PLoS ONE5 (2021): e0252112.
  16. Vikki Wylde., et al. “The Oxford hip score: the patient's perspective”. Health and Quality of Life Outcomes 3 (2005): 66.
  17. Camilla Holmenlund., et al. “Evaluation of the Oxford Hip Score: Does it still have content validity? Interviews of total hip arthroplasty patients”. Health Qual Life Outcomes 19 (2021): 237
  18. Costa ML., et al. “World Hip Trauma Evaluation (WHiTE): framework for embedded comprehensive cohort studies”. BMJ Open 6 (2016): e011679.

Citation

Citation: Dheeraj Panchaksharam Selvarajan., et al.“Hip Arthroplasty Done for Osteoarthritis vs. Hip Fractures: A Comparison”. Acta Scientific Orthopaedics 5.12 (2022): 136-141.

Copyright

Copyright: © 2022 Dheeraj Panchaksharam Selvarajan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US