The Comparison of Arthroplasty and Internal Fixation for Proximal Femur Fractures

Objective: Increasing life expectancy has led to an increase in the incidence of femoral neck and intertrochanteric fractures.These fractures are becoming a major health problem with high mortality and morbidity rates.The aim of treatment is to enable early mobilization of the patient and to reduce complications.Today, arthroplasty and internal fixation are the most commonly used treatments.The choice of treatment depends on the patient's age, fracture stability, and bone quality.The aim of this study was to compare the functional and radiological outcomes of patients treated with arthroplasty or internal fixation for femoral neck and intertrochanteric femoral fractures.Materials and Methods: Between 2007 and 2009, 62 patients treated for femoral neck and intertrochanteric fractures were retrospectively evaluated.Functional outcomes were analyzed using the Harris Hip Score and bone quality using the Singh Index. Results:The mean age of the patients included in the study was 67.8 years for intertrochanteric fractures and 60.5 years for femoral neck fractures.The Harris Hip Scores of patients who underwent arthroplasty for femoral neck fractures were statistically higher than those who underwent arthroplasty for intertrochanteric fractures (p<0.05).Harris Hip Scores of patients with femoral neck fractures were statistically higher than those with intertrochanteric femoral fractures in patients who underwent internal fixation (p<0.05). Conclusion:This study evaluates the efficacy of arthroplasty and internal fixation in different patient groups.The results are generally consistent with the literature.Arthroplasty may be a more appropriate option for femoral neck fractures than for intertrochanteric fractures based on functional outcomes.However, given the limitations of the study, the results should be supported by more comprehensive and prospective studies.