HEMIARTHROPLASTY FOR PROXIMAL FEMORAL FRACTURES IN CENTENARIANS: A CASE SERIES WITH 12-MONTH SURVIVAL AND FUNCTIONAL OUTCOMES
- 1Institute of Orthopaedics and Trauma Surgery Viet Duc Hospital
- 2VNU University of Medicine and Pharmacy Vietnam National University, Hanoi
- 3Hanoi Medical University
Abstract
Background: Hip fractures in centenarians are associated with high mortality, poor functional recovery, and substantial perioperative risk. Data specifically describing survival and functional outcomes after hemiarthroplasty in this exceptionally old population remain limited. Subjects and methods: We conducted a retrospective descriptive case series of 16 patients aged 100 years and older with proximal femoral fractures who underwent hemiarthroplasty at Viet Duc University Hospital between January 2021 and January 2025. Patients were managed within a multidisciplinary care pathway incorporating orthogeriatric principles. Data collected included comorbidity burden, pre-injury mobility and functional status, perioperative characteristics, postoperative complications, survival, and functional outcomes. Survival status, mobility, and functional independence were assessed at 1, 3, and 12 months after surgery. Functional outcomes were assessed among surviving patients at each follow-up time point. Results: The mean age was 101.75 ± 1.88 years, and 93.75% of patients were female. Before injury, the mean Parker Mobility Score was 4.06 ± 0.92 and the mean Barthel Index was 81.56 ± 7.47. The mean time from admission to surgery was 45.38 ± 15.28 hours. Delirium was the most common postoperative medical complication (37.50%), followed by pneumonia (12.50%), and no in-hospital deaths were recorded. Cumulative mortality was 6.25% at 1 month, 12.50% at 3 months, and 31.25% at 12 months. Among survivors, the mean Parker Mobility Score decreased to 1.47 ± 1.13 at 1 month and subsequently improved to 2.50 ± 1.87 at 3 months and 3.09 ± 2.26 at 12 months. The mean Barthel Index showed a similar pattern, decreasing to 36.00 ± 17.94 at 1 month and improving to 48.21 ± 24.54 at 3 months and 52.73 ± 25.43 at 12 months. Both measures remained below pre-injury levels at 12 months. Conclusions: In this descriptive case series of centenarian patients selected for hemiarthroplasty, cumulative 12-month mortality was 31.25%. Among survivors, mobility and functional independence improved progressively after the first postoperative month but remained below pre-injury levels at 12 months. These findings highlight the importance of considering functional recovery alongside survival when evaluating outcomes in this exceptionally old patient population.
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BibTeX
@article{nguyen2026hemiarthroplasty,
title = {{HEMIARTHROPLASTY FOR PROXIMAL FEMORAL FRACTURES IN CENTENARIANS: A CASE SERIES WITH 12-MONTH SURVIVAL AND FUNCTIONAL OUTCOMES}},
author = {Manh Khanh Nguyen and Van Long Dang and Van Hoc Nguyen and Hoang Quan Nguyen and Vu Anh Do and Van Hai Do and Moc Son Nguyen and Dinh Bang Cao and Huy Thiep Nguyen and Xuan Hoang Le and Manh Khoi Nguyen},
journal = {Orthopedic Reviews},
year = {2026},
month = oct,
doi = {10.52965/001c.172709},
url = {https://doi.org/10.52965/001c.172709},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - HEMIARTHROPLASTY FOR PROXIMAL FEMORAL FRACTURES IN CENTENARIANS: A CASE SERIES WITH 12-MONTH SURVIVAL AND FUNCTIONAL OUTCOMES
AU - Manh Khanh Nguyen
AU - Van Long Dang
AU - Van Hoc Nguyen
AU - Hoang Quan Nguyen
AU - Vu Anh Do
AU - Van Hai Do
AU - Moc Son Nguyen
AU - Dinh Bang Cao
AU - Huy Thiep Nguyen
AU - Xuan Hoang Le
AU - Manh Khoi Nguyen
PY - 2026
DA - 2026/10/26
JO - Orthopedic Reviews
DO - 10.52965/001c.172709
UR - https://doi.org/10.52965/001c.172709
AB - Background: Hip fractures in centenarians are associated with high mortality, poor functional recovery, and substantial perioperative risk. Data specifically describing survival and functional outcomes after hemiarthroplasty in this exceptionally old population remain limited. Subjects and methods: We conducted a retrospective descriptive case series of 16 patients aged 100 years and older with proximal femoral fractures who underwent hemiarthroplasty at Viet Duc University Hospital between January 2021 and January 2025. Patients were managed within a multidisciplinary care pathway incorporating orthogeriatric principles. Data collected included comorbidity burden, pre-injury mobility and functional status, perioperative characteristics, postoperative complications, survival, and functional outcomes. Survival status, mobility, and functional independence were assessed at 1, 3, and 12 months after surgery. Functional outcomes were assessed among surviving patients at each follow-up time point. Results: The mean age was 101.75 ± 1.88 years, and 93.75% of patients were female. Before injury, the mean Parker Mobility Score was 4.06 ± 0.92 and the mean Barthel Index was 81.56 ± 7.47. The mean time from admission to surgery was 45.38 ± 15.28 hours. Delirium was the most common postoperative medical complication (37.50%), followed by pneumonia (12.50%), and no in-hospital deaths were recorded. Cumulative mortality was 6.25% at 1 month, 12.50% at 3 months, and 31.25% at 12 months. Among survivors, the mean Parker Mobility Score decreased to 1.47 ± 1.13 at 1 month and subsequently improved to 2.50 ± 1.87 at 3 months and 3.09 ± 2.26 at 12 months. The mean Barthel Index showed a similar pattern, decreasing to 36.00 ± 17.94 at 1 month and improving to 48.21 ± 24.54 at 3 months and 52.73 ± 25.43 at 12 months. Both measures remained below pre-injury levels at 12 months. Conclusions: In this descriptive case series of centenarian patients selected for hemiarthroplasty, cumulative 12-month mortality was 31.25%. Among survivors, mobility and functional independence improved progressively after the first postoperative month but remained below pre-injury levels at 12 months. These findings highlight the importance of considering functional recovery alongside survival when evaluating outcomes in this exceptionally old patient population.
SN - 2035-8237
SN - 2035-8164
ER -