Patient Outcomes Following Minimally Invasive Vs. Open Hip Fracture Repair
Keywords:
Hip fracture, minimally invasive surgery, functional outcomes, perioperative outcomes, geriatric orthopedicsAbstract
Introduction: Hip fractures are a significant health concern, especially among the elderly, leading to substantial morbidity and mortality. This study aimed to compare patient outcomes following minimally invasive versus open hip fracture repair, addressing the ongoing debate about optimal surgical approaches.
Methods: A prospective, comparative cohort study was conducted over 6 months, involving 150 patients (75 per group) undergoing hip fracture repair. Patients were assessed for perioperative outcomes, complications, functional recovery using the Harris Hip Score, and quality of life using the EQ-5D index. Data were collected preoperatively, immediately post-surgery, and at 6 weeks and 6 months follow-up.
Results: The minimally invasive group showed significant advantages in perioperative outcomes, including shorter operative time (68.5 vs 82.7 minutes, p=0.001), lower blood loss (median 150 vs 250 mL, p<0.001), and shorter hospital stay (median 5 vs 7 days, p=0.003). Early functional outcomes were superior in the minimally invasive group, with higher Harris Hip Scores at 6 weeks (68.3 vs 63.8, p=0.038) and better quality of life (EQ-5D index 0.65 vs 0.58, p=0.027). However, these differences were not statistically significant at 6 months. Complication rates were similar between groups, though a trend towards fewer surgical site infections was observed in the minimally invasive group.
Conclusion: Minimally invasive hip fracture repair demonstrates significant short-term benefits in perioperative outcomes and early functional recovery. However, long-term functional outcomes appear similar to open surgery. These findings suggest that minimally invasive techniques may be particularly beneficial for elderly or frail patients, where rapid recovery and reduced surgical stress are crucial.
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