Total hip replacement versus hemiarthroplasty in intracapsular fracture of the elderly

Ali Aljizani; Faris Baawad; Ahmad Almaghrabi; Abdulsalam Alshehri; Atif Alhawash; Jehad Alzahrani; Riyadh Almashni; Nibras Aljabri; Abdullah Assiri; Abdulah Alzaibak

doi:10.18203/2394-6040.ijcmph20182398

Authors

Ali Aljizani Department of Orthopedics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Faris Baawad College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Ahmad Almaghrabi College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Abdulsalam Alshehri College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Atif Alhawash College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Jehad Alzahrani College of Medicine, Albaha University, Albaha, Saudi Arabia
Riyadh Almashni College of Medicine, Albaha University, Albaha, Saudi Arabia
Nibras Aljabri College of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia
Abdullah Assiri College of Medicine, King Khalid University, Abha, Saudi Arabia
Abdulah Alzaibak College of Medicine, Batterjee Medical College, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20182398

Keywords:

Elderly, Hemiarthroplasty, Intracapsular fracture, Total hip replacement

Abstract

Hip fracture is common among elderly and it is considered a major public health problem. Total hip replacement and hemiarthroplasty are the procedures of choice for managing intracapsular hip fracture among this population. Each procedure has its advantages and disadvantages. Total hip replacement is generally more preferred because of its safety, efficacy, higher success rates, better early recovery, and lower need for operative revision. On the other hand, it is associated with higher dislocation rates and higher general complications. Hemiarthroplasty is another safe option for management of intracapsular hip fracture. It is associated with higher stability and lower dislocation rates. However, revision may be required postoperatively, and the functional outcomes are slightly lower. This article will review the literature evidence of the advantages and disadvantages of both total hip replacement and hemiarthroplasty.

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