Effect of Artificial Hip Replacement Surgery on the Treatment of Intertrochanteric Femur Fractures in Elderly Patients and Its Impact on Hip Joint Function and Quality of Life

Yong Qin, Jianfei Xu, Dongqian Feng, Bin Zhang

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¹ Shuyang County Hospital of Traditional Chinese Medicine, Suqian 223600, Jiangsu Province, China,

JCNR 2025 , 9(1), 88–93; https://doi.org/10.26689/jcnr.v9i1.9485

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

Objective: To evaluate the treatment effect of total hip arthroplasty (THA) for intertrochanteric femur fractures (IFF) in elderly patients. Methods: Thirty-two elderly patients with IFF admitted to the hospital from August 2021 to August 2024 were selected and randomly divided into two groups using a random number table. The experimental group (16 patients) underwent THA surgery, while the control group (16 patients) underwent proximal femoral nail antirotation (PFNA) surgery. Hip joint function and quality of life indicators were compared between the two groups. Results: Before surgery, there was no significant difference in hip joint function and quality of life scores between the two groups (P > 0.05). However, at six months postoperatively, the experimental group had higher hip joint function and quality of life scores compared to the control group (P < 0.05). The total effective rate was higher in the experimental group than in the control group (P < 0.05). The complication rate in the experimental group was similar to that in the control group (P > 0.05). Conclusion: THA can improve the clinical efficacy of elderly patients with IFF, minimize postoperative complications, effectively restore hip joint function, and optimize postoperative quality of life.

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