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Issue: No. 98 (2026): CHÀO MỪNG NGÀY KHOA HỌC, CÔNG NGHỆ VÀ ĐỔI MỚI SÁNG TẠO VIỆT NAM NĂM 2026
Section: Article
DOI: 10.58490/ctjump.2026i98.4565
Date Published: 25/05/2026
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Tao, N. H., Phan, D. M., Nguyen, T. H., Truong, H. H., & Pham, N. T. V. (2026). EVALUATION OF TREATMENT OUTCOMES OF CLOSED FEMORAL NECK FRACTURES USING DUAL-MOBILITY TOTAL HIP ARTHROPLASTY. Cantho Journal of Medicine and Pharmacy, 98, 15-21. https://doi.org/10.58490/ctjump.2026i98.4565

EVALUATION OF TREATMENT OUTCOMES OF CLOSED FEMORAL NECK FRACTURES USING DUAL-MOBILITY TOTAL HIP ARTHROPLASTY

Nhat Hao Tao1, , Dinh Mung Phan2, Thanh Huy Nguyen3, Huu Hanh Truong1, Ngoc Tuong Vy Pham1
1 Can Tho University of Medicine and Pharmacy
2 Military Hospital 175
3 Can Tho Central General Hospital

Main Article Content

Abstract

Background: Closed femoral neck fracture is a common injury in the elderly and is associated with a risk of dislocation after conventional total hip arthroplasty. Dual-mobility implants are designed to increase range of motion, enhance hip stability, and reduce the risk of postoperative dislocation. Objectives: To describe the clinical and radiological characteristics of patients with closed femoral neck fracture and to evaluate the outcomes of dual-mobility total hip arthroplasty. Materials and methods: A cross-sectional descriptive study was conducted on 32 patients with femoral neck fractures treated with dual-mobility total hip arthroplasty at Can Tho Central General Hospital from June 2024 to January 2026. Results: The mean age was 66.06 ± 10.40 years; females accounted for the majority of cases, at 59.4%. Garden IV fractures accounted for the highest proportion, at 81.25%. The mean operative time was 80.6 ± 10.4 minutes. Postoperative hip function assessed by the Merle d’Aubigné score reached a mean value of 16.5 ± 1.83 points; very good and good outcomes accounted for 84.37%. No postoperative dislocation was recorded during the follow-up period. Conclusions: Total hip arthroplasty using a dual-mobility implant showed favorable short-term outcomes in the treatment of closed femoral neck fractures, with no dislocation observed during follow-up. 

Keywords

Closed femoral neck fracture, total hip arthroplasty, dual mobility

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References

1. Fletcher J. W. A., Sommer C., Eckardt H., Knobe M., Gueorguiev B., et al. Intracapsular femoral neck fractures-a surgical management algorithm. Medicina (Kaunas). 2021. 57(8), 791, doi: 10.3390/medicina57080791.
2. National Institute for Health and Care Excellence. Hip fracture: management. Clinical guideline CG124. NICE. 2023. London.
3. Suarez-Ahedo C., Quintero-Quintero M. A., Martinez-Armenta C., et al. Modern dual mobility implants in total hip arthroplasty: stability, survival, and ion safety evaluation: the comprehensive review. JBJS Open Access. 2025. 10(4), e25.00141.
4. Farey J. E., Masters J., Cuthbert A. R., Iversen P., van Steenbergen L. N., et al. Dual mobility versus conventional total hip arthroplasty compared with surgery for displaced fracture of the femoral neck: a randomized controlled trial protocol. BMJ Open. 2022.
5. Patel D., Singh A., Vohra R., Chauhan S. Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly patients: a prospective study. Trauma Monthly. 2022. 27(3), 504-512, doi: 10.30491/tm.2021.271571.1234.
6. Nguyễn Hồng Hà, Nguyễn Đình Kiên, Lê Hoài Nam, Phan Anh Nghĩa, Trần Thị Thanh Nhàn. Kết quả sớm phẫu thuật thay khớp háng toàn phần không xi-măng chuyển động đôi tại Bệnh viện Quân y 17. Tạp chí Y học Quân sự. 2025. 381, 15-19, doi: 10.59459/1859-1655/JMM.870.
7. Nguyễn Văn Thành. Ứng dụng kỹ thuật thay khớp háng toàn phần chuyển động kép không xi măng ở bệnh nhân gãy cổ xương đùi. Luận văn Bác sĩ chuyên khoa cấp II. Trường Đại học Y Hà Nội. 2016. Hà Nội.
8. Nguyen M. D., Le N. T. N., Nguyen N. T. B., Nguyen V. H. Outcomes of dual-mobility cup for displaced femoral neck fractures in the elderly. Journal of Clinical Medicine - Hue Central Hospital. 2023. 92, 91-100, doi: 10.38103/jcmhch.92.16.
9. Cicio C., Testa G., Salvo G., Liguori B., Vescio A., et al. Femoral neck fractures in elderly patients: dual mobility cup arthroplasty or hemiarthroplasty? A narrative review of the literature. Applied Sciences. 2025. 15, 4844, doi: 10.3390/app15094844.
10. Mei J., Quan K., Wang H., Dai Y., Zhang F., et al. Total cross-sectional area of the femoral neck nutrient foramina measured to assess arterial vascular beds in the femoral head. Journal of Orthopaedic Surgery and Research. 2019. 14, 439, doi: 10.1186/s13018-019-1480-7.
11. American Academy of Orthopaedic Surgeons. Management of hip fractures in older adults: evidence-based clinical practice guideline. AAOS. 2021.
12. Lương Toàn Thắng, Nguyễn Mạnh Khánh, Đinh Ngọc Quý, Nguyễn Khắc Tài, Đào Văn Nhân, và cộng sự. Đánh giá kết quả sau phẫu thuật thay khớp háng toàn phần không xi măng ở bệnh nhân dưới 30 tuổi. Tạp chí Y học Việt Nam. 2023. 523(2), 37-40, doi:10.51298/vmj.v523i2.4504.