Acta ortopedica brasileira · 2026
ANALYSIS OF ARTHROPLASTIES IN ELDERLY PATIENTS WITH FEMORAL NECK FRACTURES AT A HOSPITAL IN SÃO PAULO.
СтатьяНазвание и аннотация: Перевод в очереди
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Falcão Marcos Gabriel, Suarez Marcelo Añez, Ferreira Anna Clara Oliveira Paranhos, Ranzoni Lucas Verissimo, Iunes Tajher, Terrível Alberto Maranon
Аннотация
OBJECTIVE: To analyze the outcomes related to partial and total hip arthroplasties in elderly patients with femoral neck fractures at a hospital in the city of São Paulo.
MATERIAL AND METHODS: We reviewed the medical records of patients undergoing hip arthroplasty between 2020 and 2024 and extracted data on demographics, type of arthroplasty, length of hospital stay, and any postoperative complications such as infection and death.
RESULTS: 198 patients, mean age 84 years. Women (80.2%), men (19.8%). The mean time to surgery was 2.3 days, with 71.6% undergoing surgery within two days (early surgery). Length of ICU stay was significantly longer (p = 0.002) in the late surgery group (M = 47, SD = 40) compared to the early surgery group (M = 31, SD = 41). The total length of hospital stay was longer in the Late Surgery group (M = 17 days) compared to the Early Surgery group (M = 7 days), with statistical significance (p = 0.001) and a moderate-to-large effect size (ES = 0.695).
CONCLUSION: Late surgery in elderly patients with femoral neck fractures increases hospitalization and ICU length of stay, but does not affect complications, mortality, or functional recovery. Although early surgery reduces hospitalization, management requires a multifactorial approach. Level of Evidence IV; Retrospective Cohort.
MATERIAL AND METHODS: We reviewed the medical records of patients undergoing hip arthroplasty between 2020 and 2024 and extracted data on demographics, type of arthroplasty, length of hospital stay, and any postoperative complications such as infection and death.
RESULTS: 198 patients, mean age 84 years. Women (80.2%), men (19.8%). The mean time to surgery was 2.3 days, with 71.6% undergoing surgery within two days (early surgery). Length of ICU stay was significantly longer (p = 0.002) in the late surgery group (M = 47, SD = 40) compared to the early surgery group (M = 31, SD = 41). The total length of hospital stay was longer in the Late Surgery group (M = 17 days) compared to the Early Surgery group (M = 7 days), with statistical significance (p = 0.001) and a moderate-to-large effect size (ES = 0.695).
CONCLUSION: Late surgery in elderly patients with femoral neck fractures increases hospitalization and ICU length of stay, but does not affect complications, mortality, or functional recovery. Although early surgery reduces hospitalization, management requires a multifactorial approach. Level of Evidence IV; Retrospective Cohort.