Abstract
OBJECTIVE: This study aimed to investigate the effect of posterolateral mini-incision hip hemiarthroplasty (HHA) on pain and hip function in elderly patients with hip fractures. METHODS: Sixty hip fracture patients treated at our hospital between January 2023 and January 2024 were randomly assigned to two groups, with 30 patients in each group. The control group underwent traditional posterolateral approach HHA, while the observation group received HHA using the posterolateral mini-incision approach. General data were collected from both groups. Surgical indicators, including surgical time, time to ambulation, and length of hospital stay, were compared between the two groups. Adverse reactions and postoperative complications were recorded. Postoperative pain was assessed using the Visual Analog Scale (VAS) 24 hours after surgery. Treatment efficacy was evaluated with the Harris Hip Score (HHS), and balance ability was assessed using the Berg Balance Scale. RESULTS: No significant differences were observed in baseline characteristics between the two groups (P > 0.05). The observation group demonstrated better surgical outcomes, with shorter operation and recovery times, as well as fewer adverse reactions and complications (P < 0.05). Postoperative VAS scores were significantly lower, and both HHS and Berg Balance Scale scores were higher in the observation group compared with the control group (P < 0.05). CONCLUSION: The posterolateral mini-incision approach for HHA in elderly patients with hip fractures can optimize surgical outcomes, reduce postoperative pain and complications, improve hip joint function, and promote better postoperative recovery, resulting in overall superior effects.