Choosing Hemiarthroplasty or Total Hip Replacement for Elderly Hip Fractures: A Clinical-focused Comparison of Techniques, Outcomes, and Patient Pathways
This article compares hemiarthroplasty and total hip replacement as surgical treatments for hip fractures in elderly patients. It explains each procedure, clinical outcomes, recovery processes, and safety precautions, emphasizing the importance of personalized treatment plans guided by tools like the Nottingham Hip Fracture Score. While hemiarthroplasty offers shorter surgery and quicker initial recovery, total hip replacement often provides better long-term function and lower mortality in selected patients. The article highlights the role of specialist multidisciplinary care in optimizing recovery and quality of life, encouraging shared decision-making tailored to individual health and mobility goals. It serves as a comprehensive guide for patients, carers, and health professionals to make informed choices about hip fracture management.
