Frontiers in Surgery最新文献

{"title":"Risk factors and prevention strategy for patient dissatisfaction after transforaminal lumbar interbody fusion: a single-center retrospective study.","authors":"Lixin Yang, Zhao Guo, Yuhao Qiao, Jichao Guo, Jiaqi Li, Wei Wang","doi":"10.3389/fsurg.2025.1545591","DOIUrl":"10.3389/fsurg.2025.1545591","url":null,"abstract":"<p><strong>Background: </strong>For patients who received transforaminal lumbar interbody fusion (TLIF) treatment for lumbar disc herniation, most of them can achieve good results, but there were still some patients who were not satisfied with the surgical results. The purpose of this study is to explore the factors that contribute to patient dissatisfaction after TLIF.</p><p><strong>Methods: </strong>From March 2018-December 2021, patients with lumbar disc herniation who received TLIF treatment were included in this study. Clinical data from preoperative and postoperative 2-year follow-up were analyzed. Associations between clinical variables and function of postoperative were examined in univariate and multivariate analysis.</p><p><strong>Result: </strong>Of all the 625 patients, including 296 (47.4%) male patients and 329 (52.6%) female patients. According to patient satisfaction index (PSI), patients were divided into two groups, 529 patients in satisfied group showing 1 or 2 stage in PSI and 96 patients in dissatisfied group showing 3 or 4 stage in PSI. Univariate analysis showed that body mass index (BMI), preoperative pain time, postoperative visual analog scale (VAS)-back, intraoperative bleeding volume, postoperative rehabilitation training, feel depression and symptom recurrence were related with patient's level of satisfaction 2 years after discectomy. When incorporated into a multivariate logistic regression analysis, it was found that BMI, preoperative pain duration, postoperative rehabilitation training, feel depression and symptom recurrence were individually correlated with patient dissatisfaction 2 years after discectomy.</p><p><strong>Conclusion: </strong>This study indicates that the factors that leading to postoperative dissatisfaction of patients include obesity, preoperative pain duration lasting no less than 6 months, feel depression and symptom recurrence. While postoperative rehabilitation training for three months is a protective factor.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1545591"},"PeriodicalIF":1.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How much preoperative ROM and FC is a predictor for poor result after total knee arthroplasty in hemophilic arthropathy?","authors":"Hongyu Jiang, Xueke Chang, Fubin Yu, Wei Li, Naihan Fang, Jianzhi Man, Kangshu Guo, Hongzheng Meng, Wenqiang Zhang","doi":"10.3389/fsurg.2025.1550166","DOIUrl":"10.3389/fsurg.2025.1550166","url":null,"abstract":"<p><strong>Aim: </strong>We aimed to explore the threshold of preoperative range of motion (ROM) and flxion contacture (FC) as a predictor of Poor knee function after TKA.</p><p><strong>Method: </strong>A retrospective analysis was conducted on 84 Patients with haemophilia (PWH) (113 knees) who underwent knee arthroplasty in our hospital from January 2010 to December 2020 (mean follow-up 70.7 ± 22.4 months). General information, hemophilia information, surgical information, follow-up information were collected. Knees were divided into two groups: Group poor (41 knees) and Group excellent (72 knees). In the clinical evaluation, the FC, ROM and American Society Knee clinical Score (KSC), American Society Knee functional Score (KSF), Hospital for Special Surgery (HSS) scores were used preoperatively and at the final follow-up visit. Receiver operating characteristics (ROC) analysis was used to analyze the threshold of preoperative ROM and FC as a predictor of Poor knee function after TKA.</p><p><strong>Result: </strong>Postoperative knee joint KSC, KSF, and HSS scores, as well as ROM and reduction in FC deformities at the last follow-up, improved significantly compared to preoperative levels. A notable correlation was observed between ROM and FC and the outcome of knee arthroplasty. The cutoff value of preoperative fexion contracture and ROM for poor knee function at last-follow up was 16.5° and 61.5°.</p><p><strong>Conclusion: </strong>The study concludes that the efficacy of knee joint replacement surgery in hemophilia patients is influenced by the pre-ROM and Pre-FC. The better the pre- ROM, the better the knee efficacy. The greater the pre- flexion contracture degree, the worse the knee efficacy.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1550166"},"PeriodicalIF":1.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary intracranial malignant melanoma in an adolescent: case report and literature review.","authors":"Nyoman Golden, I Gusti Ketut Agung Surya Kencana, Christopher Lauren, Angky Saputra, Denny Japardi","doi":"10.3389/fsurg.2025.1524204","DOIUrl":"10.3389/fsurg.2025.1524204","url":null,"abstract":"<p><p>Primary intracranial malignant melanoma (PIMM) is an exceedingly rare central nervous system tumor, accounting for only 1% of melanoma cases and 0.07% of primary CNS tumors, with limited documentation in adolescents. This case report describes an 18-year-old male who presented with a seizure, marking the onset of his symptoms. Following an emergency assessment, MRI identified a heterogeneous mass in the right parasagittal frontal region, initially misdiagnosed as a cystic meningioma. A craniotomy allowed for total tumor resection, and histopathological analysis revealed a malignant melanoma characterized by neoplastic cells with pronounced nuclear pleomorphism and significant mitotic activity. Postoperative evaluations, including a PET scan, confirmed no extracranial melanoma, affirming the diagnosis of primary CNS melanoma. The patient demonstrated no neurological deficits or seizures one year post-surgery and was managed with adjuvant radiotherapy. This report emphasizes the necessity of considering PIMM in differential diagnoses for seizures in young patients and highlights the importance of comprehensive diagnostic evaluations, including MRI and histopathology, in rare cases. Additionally, the findings underscore the critical role of complete surgical resection in improving outcomes, with adjuvant therapies potentially enhancing long-term management and surveillance. As PIMM presents with nonspecific symptoms, awareness among clinicians is essential for early detection and appropriate intervention, warranting further research to develop standardized treatment protocols and enhance understanding of this rare tumor's pathophysiology.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1524204"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Porto Alegre Line predicts lenticulostriate arteries encasement and extent of resection in insular gliomas. A preliminary study.","authors":"Gustavo Rassier Isolan, Samir Ale Bark, Jander Moreira Monteiro, Tobias A Mattei, Kaan Yağmurlu, Rafaela Fernandes Gonçalves, Osvaldo Malafaia, Rafael Roesler, Jurandir Marcondes Ribas Filho","doi":"10.3389/fsurg.2025.1414302","DOIUrl":"10.3389/fsurg.2025.1414302","url":null,"abstract":"<p><strong>Object: </strong>In insular glioma surgery, lenticulostriate arteries (LSTa) tumoral encasement increases neurological deficits risk despite intensive efforts to preserve the internal capsule's integrity. In this study, we focus on the LSTa relationships with the medial aspect of the insular tumors. We propose a new non-invasive method for LSTa involvement prediction in preoperative MRI (Porto Alegre Line). We compare it with direct intraoperative encased LSTa visualization.</p><p><strong>Methods: </strong>A retrospective review of our database of 52 patients of insular glioma was performed. In cases with no tumor located medial to Porto Alegre line, our medial resection limit, mainly for the tumor part located next to the limen insula, was the inferior fronto-occipital fasciculus (IFOF), identified through altered speech patterns during electric subcortical stimulation. In cases with no assumed LSTa involvement, the parameter used to stop resection was the confirmation of the corticospinal tract with 10-mA stimulus. The resection limit of tumors placed medially to the Porto Alegre line was intraoperative direct LSTa visualization.</p><p><strong>Results: </strong>The LSTa involvement was the most critical medial limiting factor in more aggressive tumor resection and an excellent overall survival (<i>P</i> = 0.022). In cases in which there were direct intraoperative LSTa encasement visualization, Porto Alegre Line was employed as an MRI preoperative landmark for prediction of LSTa involvement in those patients with Sensitivity, Specificity, Positive Predictive Values of 1, 0.975 and 0.923, respectively.</p><p><strong>Conclusion: </strong>We have found that LSTa encasement is a limiting factor to reach a satisfactory extent of resection and that Porto Alegre Line can predict it.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1414302"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case Report: Intradural gout tophi without systemic gout symptoms.","authors":"Peidong Qing, Shiming Xie, Chaoqun Feng, Hongda Xu, Shengxin Zhao, Lei Zhang, Haitao Deng, Yehui Wang, Youpeng Hu","doi":"10.3389/fsurg.2025.1472886","DOIUrl":"10.3389/fsurg.2025.1472886","url":null,"abstract":"<p><strong>Background: </strong>Gout is a common disease; however, a gout tophus occurring within the spinal dura is exceedingly rare, with only two cases reported to date.</p><p><strong>Case presentation: </strong>We report the case of a 70-year-old female who presented with lower back pain, right radicular pain, and numbness in the perineal area. Magnetic resonance imaging and computed tomography scans revealed a calcified intradural lesion at the L3 level. The diagnosis of the lesion was not definitive because the patient had no history of gout or manifestations of systemic gout. Surgical removal of the intradural lesion followed by pathological examination confirmed gouty tophi. The postoperative recovery was good, and the patient experienced substantial relief from pain and numbness.</p><p><strong>Conclusion: </strong>This is the third documented case of gout tophi occurring within the spinal dura. In a literature review, it was found that none of these three patients with intradural gouty tophi had systemic gout manifestations or hyperuricemia, which is a crucial finding. As it is challenging to diagnose intradural gout, awareness among physicians must be increased to optimize the treatment of, and outcomes for, these patients.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1472886"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case Report: Surgical treatment of lumbar ligamentum flavum cysts combined with spinal instability causing radiculopathy.","authors":"Keshi Yang, Changbin Ji, Dawei Luo, Jiwei Yin, Xiaozhe Wu, Hui Xu","doi":"10.3389/fsurg.2025.1481216","DOIUrl":"10.3389/fsurg.2025.1481216","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to describe a case of a patient with a lumbar ligamentum flavum cyst combined with spinal instability who underwent cyst resection and transforaminal lumbar interbody fusion (TLIF).</p><p><strong>Methods: </strong>We present a rare case of a patient with a lumbar ligamentum flavum cyst combined with spinal instability causing radiculopathy. The patient underwent cyst resection and transforaminal lumbar interbody fusion.</p><p><strong>Results: </strong>The patient underwent follow-up for 3 years postoperatively and remained asymptomatic, with favorable radiographic results.</p><p><strong>Conclusions: </strong>Cysts resection and TLIF for ligamentum flavum cysts combined with spinal instability can achieve sufficient and effective decompression while simultaneously restoring spinal stability. Therefore, this approach is both an effective and safe treatment option.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1481216"},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative clinical impact of low-curvature and normal-curvature titanium mesh in cranioplasty: a retrospective analysis of patient outcomes.","authors":"Shengkai Yang, Weihua Chen, Hongwei Teng, Lei Zhang, Kangkang Ji, Hai Zhou","doi":"10.3389/fsurg.2025.1438307","DOIUrl":"10.3389/fsurg.2025.1438307","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the clinical utility of two types of cranioplasty surgery involving low-curvature and normal-curvature titanium mesh, respectively.</p><p><strong>Methods: </strong>The clinical data were retrospectively collected from patients undergoing skull defect repair surgery between January 2021 and December 2022. The clinical outcomes associated with the two surgical approaches were compared and analyzed.</p><p><strong>Results: </strong>A total of 67 patients who underwent skull defect repair surgery were enrolled, with 22 in the low-curvature titanium mesh group and 45 in the normal-curvature titanium mesh group. Both before and after propensity score matching (PSM) analysis, the hospital stay for the low-curvature titanium mesh group was significantly shorter than that for the normal-curvature mesh group (Before: 9.14 ± 2.64 vs. 12.51 ± 4.15, <i>P</i> = 0.001; After: 9.44 ± 2.83 vs. 12.13 ± 4.40, <i>P</i> = 0.048). The low-curvature group exhibited lower overall hospitalization costs than the normal-curvature group (Before: 23500. ± 900. vs. 24,900. ± 1,100., <i>P</i> < 0.001; After: 23,300. ± 800. vs. 24,100. ± 1,000., <i>P</i> = 0.026). Moreover, satisfaction with molding (Before: 4.23 ± 0.75 vs. 3.18 ± 0.81, <i>P</i> = 0.001; After: 4.13 ± 0.72 vs. 3.25 ± 0.78, <i>P</i> < 0.001), Karnofsky's Performance Status score (Before: 93.32 ± 1.67 vs. 90.38 ± 3.50, <i>P</i> = 0.001; After: 93.56 ± 1.75 vs. 91.00 ± 3.78, <i>P</i> < 0.001), and Quality of Life score (Before: 52.95 ± 2.13 vs. 50.18 ± 3.54, <i>P</i> = 0.001; After: 53.31 ± 2.12 vs. 50.38 ± 4.23, <i>P</i> = 0.001) were significantly higher in the low-curvature titanium mesh group than the normal-curvature titanium mesh group.</p><p><strong>Conclusions: </strong>Applying low-curvature titanium mesh for skull repair effectively shortens the hospital stay, reduces overall hospitalization costs,enhances patient satisfaction with surgical modeling, and improves the postoperative functional status and quality of life of patients undergoing neurosurgery. These advantages warrant further clinical promotion.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1438307"},"PeriodicalIF":1.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Centerpiece plate vs. Arch plate fixation in cervical unilateral open-door laminoplasty: a retrospective comparative study.","authors":"Lishuang Huo, Fengyu Liu, Xianze Sun","doi":"10.3389/fsurg.2025.1482974","DOIUrl":"10.3389/fsurg.2025.1482974","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the clinical and radiological outcomes of Centerpiece plate and Arch plate fixation in cervical unilateral open-door laminoplasty.</p><p><strong>Methods: </strong>This study included 102 patients who underwent cervical unilateral open-door laminoplasty with Centerpiece plate fixation (62 patients) or Arch plate fixation (40 patients) between September 2017 and September 2022. Clinical and radiological outcomes were evaluated.</p><p><strong>Results: </strong>There were no significant differences in operation time, blood loss, and lamina open angle between the two groups. Before surgery, the two groups had comparable Japanese Orthopedic Association (JOA) scores and Pavlov's ratios. After surgery, the spinal drift distance and Pavlov ratio of the Centerpiece group were smaller than those of the Arch group. Both groups showed significant improvements in JOA scores after surgery and at the last follow-up compared to pre-surgery. At the final follow-up, the Centerpiece group's JOA scores and JOA score improvement rate were lower than those of the Arch group.</p><p><strong>Conclusions: </strong>Both Centerpiece plate and Arch plate fixation can improve the patient's symptoms. Centerpiece plate fixation has a worse prognosis than Arch plate fixation in cervical unilateral open-door laminoplasty because the ventral prong in the Centerpiece plate may obstruct the spinal cord's backward movement.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1482974"},"PeriodicalIF":1.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent patellar dislocation: treatments and challenges.","authors":"Fei Yang, Changshun Chen, Rongjin Chen, Chenhui Yang, Hefang Xiao, Zhiwei Feng, Bin Geng, Yayi Xia","doi":"10.3389/fsurg.2025.1507362","DOIUrl":"10.3389/fsurg.2025.1507362","url":null,"abstract":"<p><p>Recurrent Patellar Dislocation (RPD) is a common knee sports injury, mainly affecting pediatric and adolescent populations, posing a significant challenge in orthopedic clinical practice. Although a variety of treatments have been reported, and many of them have shown good initial results, there is a lack of long-term follow-up results. Each treatment method has its own unique characteristics and limitations, and there is no standardized and unified treatment plan. This article provides a comprehensive review of current treatments for RPD. We believe that regardless of the surgical method used, patellar dislocation should not occur at 0°-90° of postoperative knee flexion and extension, and the range of motion should not be limited. Our ultimate goal is to restore patellar stability and improve lower limb alignment, thereby restoring knee function as much as possible. In addition, future treatment options for RPD are also discussed. In the future, there should be more in-depth research on the risk factors and pathogenesis that lead to recurrent patellar dislocation, as well as more randomized controlled trials focusing on different treatment methods. A comprehensive understanding of these is crucial for implementing preventive measures and developing targeted treatment strategies. The goal of this narrative review is to offer clinicians a deeper understanding of RPD treatment, enhance clinical decision-making skills, and encourage personalized and efficient management of RPD treatment.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1507362"},"PeriodicalIF":1.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical efficacy of THA with dual mobility cup vs. hemiarthroplasty in elderly patients with femoral neck fracture: a retrospective study.","authors":"Kai Xiao, Songyang Liu, Boran Liang, Shuming Li, Xinyan Liu, Jing Chen","doi":"10.3389/fsurg.2025.1507068","DOIUrl":"10.3389/fsurg.2025.1507068","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical efficacy of total hip arthroplasty (THA) with or without dual mobility cup (DMC) vs. hemiarthroplasty (HA) in elderly Asian patients with acute femoral neck fracture (FNF).</p><p><strong>Methods: </strong>Data of 284 elderly FNF patients treated at our institution from January 2017 to December 2021 were retrospectively collected. Patients were divided into the DMC-THA group (THA with DMC, <i>n</i> = 102), C-THA group (conventional THA without DMC, <i>n</i> = 88), and HA group (<i>n</i> = 94). The study assessed perioperative outcomes, hip functional recovery, treatment satisfaction, long-term prognosis, and quality of life.</p><p><strong>Results: </strong>The Harris Hip Scores in the DMC-THA group were significantly higher than those in the C-THA and HA groups at 3 months, 6 months, and 1 year postoperatively (<i>P</i> < 0.05). The satisfaction rate in the DMC-THA group (92.2%) was significantly higher compared to the C-THA (81.8%) and HA groups (80.9%) (<i>P</i> < 0.05). At 1 year post-surgery, the DMC-THA group demonstrated a significantly lower dislocation rate (2.0% vs. 9.1%) and superior mobility compared to the C-THA group (<i>P</i> < 0.05). Additionally, the DMC-THA group exhibited significantly better mobility and reduced pain/discomfort compared to the HA group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>THA with DMC offers superior joint function recovery, a lower dislocation rate, and improved quality of life compared to conventional THA and HA, positioning it as a preferred surgical option for elderly patients with acute FNF.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1507068"},"PeriodicalIF":1.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}