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
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
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: © 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.