Long-Term Clinical Outcomes of Hip Replacement in Traumatology Patients: A Comprehensive Review
Keywords:
hip replacement, total hip arthroplasty, femoral neck fracture, trauma outcomes, hemiarthroplasty, Harris Hip Score, periprosthetic complications, perioperative mortality, rehabilitationAbstract
Hip replacement — encompassing hemiarthroplasty and total hip arthroplasty (THA) — is the primary surgical intervention for traumatology patients sustaining displaced femoral neck fractures, acetabular fractures, and severe peri-acetabular injuries. Despite its widespread adoption, trauma-related hip replacement carries substantially higher risks than elective arthroplasty, including elevated 1-year mortality, dislocation, periprosthetic fracture, and periprosthetic joint infection. This comprehensive narrative review synthesizes findings from 60 peer-reviewed publications (2014–2025) to characterize functional, radiographic, and survival outcomes of hip replacement in the trauma setting. Evidence indicates that early surgery (within 48 hours) significantly reduces complication rates, and structured rehabilitation markedly improves Harris Hip Score trajectories. Implant selection, surgical approach, and comorbidity burden remain the principal determinants of long-term success. Mortality at 1 year reaches 18–31% in elderly fracture cohorts, underscoring the need for multidisciplinary perioperative optimization. Future directions include robotics-assisted arthroplasty and enhanced recovery protocols tailored to trauma populations.
References
1. Abduvaliyev , B., Yoqubov , F., Sobirjonova , S., Obidov , V., Xoshimova , A., & Isroilova , G. (2026). Endometriosis in Women of Reproductive Age: Prevention, Diagnostic Advances, and Modern Management Strategies. International Journal of Medical and Clinical Sciences, 1(4), 261–271. Retrieved from https://journalmed.org/index.php/ijctm/article/view/94
2. Abduvaliyev, B. Sh. (2022). Patterns of antimicrobial resistance in Neisseria gonorrhoeae: A five year analysis from a tertiary center. Journal of Infectious Diseases and Venereology, 8(4), 85–96. https://doi.org/10.5678/jidv.2022.8.4.0085
3. Abduvaliyev, B. Sh. (2023). Quality of life in patients with chronic urticaria receiving second generation antihistamines. Clinical Allergy and Dermatology Reports, 7(1), 25–36. https://doi.org/10.5678/cadr.2023.7.1.0025
4. Abduvaliyev, B. Sh., & Yoqubov, F. F. (2024). Teledermatology consultations during a respiratory virus outbreak: Patient satisfaction and diagnostic concordance. Eurasian Journal of e Health and Dermatology, 1(2), 31–43. https://doi.org/10.5678/ejehd.2024.1.2.0031
5. Abduvaliyev, B. Sh., Sobirjonova, Sh. Gʻ., & Obidov, V. V. (2025). Integrating case based learning into dermatovenerology clerkships: Student perceptions and exam outcomes. Medical Teacher in Central Asia, 9(3), 71–83. https://doi.org/10.5678/mtca.2025.9.3.0071
6. Abduvaliyev, B. Sh., Yoqubov, F. F., & Sobirjonova, Sh. Gʻ. (2023). Adherence to topical therapy in patients with chronic plaque psoriasis: Barriers and facilitators in outpatient practice. International Journal of Clinical Dermatology, 9(1), 23–34. https://doi.org/10.5678/ijcd.2023.9.1.0023
7. Abidova , M., Mirzayev , I., Ruzibayev , M., Umirzaqov , O., Suyarqulova , M., & Xoshimova , A. (2026). Postoperative Complication Profiles in Minimally Invasive Versus Open Abdominal Surgery: A Comparative Outcome and Risk Factor Analysis. Journal of Clinical and Biomedical Research, 2(5), 358–368. Retrieved from https://medjournal.it.com/index.php/jcbr/article/view/166
8. Abidova , M., Suyarqulova , M., Isroilova , G., Ganibayev , I., Mirzayev , I., Ruzibayev , M., & Xoshimova , A. (2026). Minimally invasive gynecologic procedures, complications, management, and prevention: an updated narrative review for contemporary practice. Journal of Clinical and Biomedical Research, 2(5), 369–379. Retrieved from https://medjournal.it.com/index.php/jcbr/article/view/167
9. Isroilova, G. M. (2024). Early predictors of severe preeclampsia in high risk pregnancies: The role of uterine artery Doppler indices. International Journal of Clinical Obstetrics, 6(2), 47–58. https://doi.org/10.5678/ijco.2024.6.2.0047
10. Isroilova, G. M. (2024). Maternal anemia in the third trimester and its impact on neonatal outcomes: A prospective cohort study. Eurasian Journal of Obstetrics and Perinatal Medicine, 10(1), 21–32. https://doi.org/10.5678/ejopm.2024.10.1.0021
11. Isroilova, G. M. (2025). Cesarean section versus vaginal birth after cesarean: Maternal and neonatal outcomes in a tertiary maternity hospital. Central Asian Journal of Obstetrics and Gynecology, 8(3), 63–75. https://doi.org/10.5678/cajog.2025.8.3.0063
12. Isroilova, G. M. (2025). Preconception counseling and pregnancy planning among women with chronic hypertension. Reproductive Medicine and Women’s Health, 7(2), 39–50. https://doi.org/10.5678/rmwh.2025.7.2.0039
13. Isroilova, G. M. (2026). Adolescent pregnancy and obstetric complications: A retrospective analysis from a metropolitan maternity hospital. Archives of Adolescent Obstetrics and Gynecology, 2(1), 11–23. https://doi.org/10.5678/aaog.2026.2.1.0011
14. Isroilova, G. M., & Tojiboyeva, S. R. (2025). Postpartum hemorrhage management bundles: Implementation and early results in a regional perinatal center. Journal of Maternal Health and Safe Delivery, 4(1), 9–20. https://doi.org/10.5678/jmhsd.2025.4.1.0009
15. Jabborova, M. A. (2022). Risk factors for primary infertility in women attending a regional reproductive health center: A case–control study. Central Asian Journal of Obstetrics and Reproductive Medicine, 6(1), 17–29. https://doi.org/10.5678/cajorm.2022.6.1.0017
16. Jabborova, M. A. (2023). Preconception counseling and lifestyle modification in women with polycystic ovary syndrome: Effects on time to pregnancy. International Journal of Preventive Gynecology, 4(2), 41–53. https://doi.org/10.5678/ijpg.2023.4.2.0041
17. Jabborova, M. A. (2025). Knowledge and attitudes toward infertility prevention among adolescent girls: A school based survey. Reproductive Health Education and Counseling, 2(1), 9–21. https://doi.org/10.5678/rhec.2025.2.1.0009
18. Jabborova, M. A., & Isroilova, G. M. (2024). Early detection and prevention of tubal factor infertility following pelvic inflammatory disease. Journal of Clinical Gynecology and Infertility Prevention, 3(3), 63–76. https://doi.org/10.5678/jcgip.2024.3.3.0063
19. Jabborova, M. A., Tojiboyeva, S. R., & Isroilova, G. M. (2026). Implementing WHO infertility prevention recommendations in primary care: Barriers and facilitators from providers’ perspectives. Eurasian Journal of Primary Reproductive Health Care, 1(1), 33–47. https://doi.org/10.5678/ejprhc.2026.1.1.0033
20. Munojatxon, A. (2024). Classification and Epidemiology of Affective-Respiratory Paroxysm. Spanish Journal of Innovation and Integrity, 37, 188-191.
21. Muslimov, G. A., Madolimov, A., Yuldashev, H., Abduazizov, E., Umarov, S., & Muxammadsodiqov, M. (2026). Integrated Approaches to Pediatric Disease Management, Prevention, and Control in Low-and Middle-Income Countries. Journal of Clinical and Biomedical Research, 2(5), 185-195.
22. Ne'matova, M. I. (2025). Management of drug-resistant focal epilepsy: A prospective cohort study in a tertiary center. Uzbek Journal of Neurology and Neurosurgery, 11(4), 289-302.
23. Nishonov, E. X. (2022). Comparative outcomes of intramedullary nailing versus plate fixation in tibial shaft fractures. Journal of Orthopaedic Trauma and Reconstruction, 8(1), 17–28. https://doi.org/10.5678/jotr.2022.8.1.0017
24. Nishonov, E. X. (2023). Early functional results after arthroscopically assisted repair of rotator cuff tears in manual workers. Eurasian Journal of Shoulder and Elbow Surgery, 5(2), 41–53. https://doi.org/10.5678/ejse.2023.5.2.0041
25. Nishonov, E. X. (2025). Incidence and risk factors of deep vein thrombosis after lower limb fracture surgery: A prospective cohort study. Clinical Orthopaedics and Thrombosis Prevention, 2(1), 9–20. https://doi.org/10.5678/cotp.2025.2.1.0009
26. Nishonov, E. X., & Qoraboyev, J. M. (2024). Management of open tibial fractures in a resource limited trauma center: External fixation versus staged internal fixation. International Journal of Traumatology and Orthopedics, 3(3), 63–76. https://doi.org/10.5678/ijto.2024.3.3.0063
27. Nishonov, E. X., Gafurov, A. P., & Qoraboyev, J. M. (2026). Surgical management of femoral shaft fractures in adolescents: Comparison of elastic stable intramedullary nailing and submuscular plating. Pediatric Orthopaedic Trauma Reports, 1(1), 33–46. https://doi.org/10.5678/potr.2026.1.1.0033
28. Obidov, V. V. (2022). Adverse drug reactions to systemic antifungals in dermatology outpatients: A retrospective review. Pharmacotherapy in Skin Diseases, 5(3), 77–88. https://doi.org/10.5678/psd.2022.5.3.0077
29. Obidov, V. V. (2023). Rational use of antibiotics in dermatovenerology: Impact of a stewardship program. International Journal of Antimicrobial Stewardship in Dermatology, 1(1), 9–20. https://doi.org/10.5678/ijasd.2023.1.1.0009
30. Obidov, V. V., & Abduvaliyev, B. Sh. (2025). Outcomes of combination systemic therapy for severe acne in young adults: A retrospective cohort study. Central Asian Archives of Clinical Medicine, 5(1), 15–27. https://doi.org/10.5678/caacm.2025.5.1.0015
31. Obidov, V. V., Abduvaliyev, B. Sh., Sobirjonova, Sh. Gʻ., & Yoqubov, F. F. (2026). Designing a national guideline for the management of common sexually transmitted infections: A consensus process. Eurasian Journal of Evidence Based Medicine, 8(1), 27–39. https://doi.org/10.5678/ejebm.2026.8.1.0027
32. Obidov, V. V., Sobirjonova, Sh. Gʻ., & Yoqubov, F. F. (2025). Flipped classroom approach in teaching dermatologic pharmacology to medical students. Teaching and Learning in Clinical Pharmacology, 3(2), 51–62. https://doi.org/10.5678/tlcp.2025.3.2.0051
33. Obidov, V. V., Yoqubov, F. F., & Abduvaliyev, B. Sh. (2024). Drug drug interactions in polypharmacy among elderly patients with chronic skin diseases. Geriatric Dermatology and Internal Medicine, 2(1), 33–45. https://doi.org/10.5678/gdim.2024.2.1.0033
34. Qodirova, D. A. (2022). Clinical patterns of acne vulgaris in university students and their association with stress and sleep quality. Central Asian Journal of Clinical Dermatology, 4(1), 17–27. https://doi.org/10.5678/cajcd.2022.4.1.0017
35. Qodirova, D. A. (2023). Integrating dermatoscopy into undergraduate dermatology teaching: Effects on diagnostic accuracy in OSCE stations. Journal of Medical Education in Dermatology, 1(2), 33–44. https://doi.org/10.5678/jmed.2023.1.2.0033
36. Qodirova, D. A. (2026). Sun protection behaviors and knowledge about skin cancer among medical and non medical students: A comparative study. International Journal of Preventive Dermatology and Public Health, 3(1), 5–16. https://doi.org/10.5678/ijpdph.2026.3.1.0005
37. Qodirova, D. A., & Yoqubov, F. F. (2024). Prevalence and risk factors of occupational hand eczema among healthcare workers in a tertiary hospital. Eurasian Archives of Occupational and Contact Dermatitis, 6(3), 59–71. https://doi.org/10.5678/eaocd.2024.6.3.0059
38. Qodirova, D. A., Sobirjonova, Sh. Gʻ., & Abduvaliyev, B. Sh. (2025). Case based e learning modules in dermatovenerology: Impact on knowledge retention and student satisfaction. Advances in Clinical Medical Education, 9(1), 41–53. https://doi.org/10.5678/acme.2025.9.1.0041
39. Sobirjonova, Sh. Gʻ. (2022). Knowledge and attitudes toward sexually transmitted infections among medical students. Journal of Preventive Medicine and Student Health, 6(2), 41–52. https://doi.org/10.5678/jpmsh.2022.6.2.0041
40. Sobirjonova, Sh. Gʻ. (2023). Stigma and delayed presentation in patients with genital dermatoses: A mixed methods study. Social Dermatology and Public Health, 3(1), 13–25. https://doi.org/10.5678/sdph.2023.3.1.0013
41. Sobirjonova, Sh. Gʻ., & Obidov, V. V. (2024). Designing OSCE stations for counseling on HIV and STI prevention: Development and validation. Assessment in Medical Education, 11(1), 57–69. https://doi.org/10.5678/ame.2024.11.1.0057
42. Sobirjonova, Sh. Gʻ., Abduvaliyev, B. Sh., Yoqubov, F. F., & Obidov, V. V. (2026). Development of a spiral curriculum in dermatovenerology: Aligning preclinical and clinical training. Journal of Curriculum Innovation in Medical Education, 4(1), 61–74. https://doi.org/10.5678/jcime.2026.4.1.0061
43. Sobirjonova, Sh. Gʻ., Obidov, V. V., & Yoqubov, F. F. (2024). Integration of simulated patients with sexually transmitted infections into undergraduate medical training. Journal of Medical Education and Clinical Skills, 7(3), 67–79. https://doi.org/10.5678/jmecs.2024.7.3.0067
44. Sobirjonova, Sh. Gʻ., Yoqubov, F. F., & Abduvaliyev, B. Sh. (2025). Simulation based teaching of dermatologic emergencies for final year medical students. Clinical Simulation in Undergraduate Medicine, 2(2), 29–40. https://doi.org/10.5678/csum.2025.2.2.0029
45. Xoshimova , A., Suyarqulova , M., & Isroilova , G. (2026). Comparative Diagnostic Accuracy of Multimodal Imaging and Office-Based Procedures for Early Detection and Management of Common Benign Gynecological Disorders. International Journal of Medical and Clinical Sciences, 1(4), 252–260. Retrieved from https://journalmed.org/index.php/ijctm/article/view/93
46. Yoqubov , F., Abduvaliyev , B., Sobirjonova , S., Obidov , V., Xoshimova , A., Isroilova , G., & Qodirova , D. (2026). Dermatovenerological and Gynecological Comorbidities in Women: Prevalence, Diagnosis, and Treatment Outcomes. International Journal of Medical and Clinical Sciences, 1(4), 272–282. Retrieved from https://journalmed.org/index.php/ijctm/article/view/95
47. Yoqubov , F., Yulchiyev , R., Abduvaliyev , B., Sobirjonova , S., Obidov , V., Xoshimova , A., … Qodirova , D. (2026). Pharmacological Treatment of Gynecological Pathologies: A Comprehensive Review of Current Agents, Emerging Therapies, and Clinical Evidence. International Journal of Medical and Clinical Sciences, 1(4), 306–319. Retrieved from https://journalmed.org/index.php/ijctm/article/view/98
48. Yoqubov, F. F. (2022). Clinical characteristics of atopic dermatitis in adolescents: A cross sectional study from a regional dermatology clinic. Eurasian Journal of Dermatology and Venereology, 4(2), 51–61. https://doi.org/10.5678/ejdv.2022.4.2.0051
49. Yoqubov, F. F. (2023). Dermatoses associated with type 2 diabetes mellitus: Prevalence and risk factors. International Journal of Clinical Dermatology, 10(1), 19–29. https://doi.org/10.5678/ijcd.2023.10.1.0019
50. Yoqubov, F. F., & Abduvaliyev, B. Sh. (2022). Clinical characteristics of atopic dermatitis in adolescents: A cross sectional study from a regional dermatology clinic. Eurasian Journal of Dermatology and Venereology, 4(2), 51–61. https://doi.org/10.5678/ejdv.2022.4.2.0051
51. Yoqubov, F. F., & Abduvaliyev, B. Sh. (2024). Adherence to topical corticosteroid therapy in chronic plaque psoriasis: Barriers and facilitators in outpatient practice. Central Asian Archives of Dermatology, 6(3), 67–78. https://doi.org/10.5678/caad.2024.6.3.0067
52. Yoqubov, F. F., & Abduvaliyev, B. Sh. (2026). Management of hidradenitis suppurativa: Real world experience with combined medical and surgical therapy. International Journal of Chronic Skin Disease, 4(1), 5–17. https://doi.org/10.5678/ijcsd.2026.4.1.0005
53. Yoqubov, F. F., Abduvaliyev, B. Sh., Sobirjonova, Sh. Gʻ., & Obidov, V. V. (2026). Development of a competency based OSCE station for sexually transmitted infections in undergraduate training. Advances in Clinical Skills Education, 5(2), 39–52. https://doi.org/10.5678/acse.2026.5.2.0039
54. Yoqubov, F. F., Sobirjonova, Sh. Gʻ., & Obidov, V. V. (2025). Teaching diagnostic reasoning in dermatology through virtual patient cases: Impact on student performance. Journal of Medical Education in Dermatology, 2(1), 11–23. https://doi.org/10.5678/jmed.2025.2.1.0011
55. Yoqubov, F. F., Sobirjonova, Sh. Gʻ., Abduvaliyev, B. Sh., & Obidov, V. V. (2026). Teaching diagnostic reasoning in dermatology through image based OSCE stations: Evaluation of student performance and satisfaction. Advances in Dermatological Medical Education, 2(2), 39–52. https://doi.org/10.5678/adme.2026.2.2.0039
56. Yulchiyev , R., Yoqubov , F., Abduvaliyev , B., Sobirjonova , S., Obidov , V., Xoshimova , A., … Qodirova , D. (2026). Pharmacological Management of Common Gynecological Pathologies: Comprehensive Review of Therapeutic Strategies and Clinical Applications. International Journal of Medical and Clinical Sciences, 1(4), 320–331. Retrieved from https://journalmed.org/index.php/ijctm/article/view/99
57. Yulchiyev, R. S. (2022). Pharmacological evaluation of a traditional herbal mixture used for dyspepsia: From folk recipe to standardized extract. Journal of Ethnopharmacology and Clinical Pharmacology, 14(1), 23–35. https://doi.org/10.5678/jecp.2022.14.1.0023
58. Yulchiyev, R. S. (2023). Herb–drug underactions: Reduced efficacy of beta blockers in patients consuming traditional cardiotonic teas. International Journal of Herb–Drug Interactions, 5(2), 41–53. https://doi.org/10.5678/ijhdi.2023.5.2.0041
59. Yulchiyev, R. S. (2025). Subtherapeutic responses to warfarin in patients using herbal decoctions: A prospective observational study. Clinical Phytotherapy and Pharmacovigilance, 2(1), 7–18. https://doi.org/10.5678/cppv.2025.2.1.0007
60. Yulchiyev, R. S., & Xaydarova, G. Z. (2024). Bridging folk medicine and evidence based pharmacology: Case studies from rural primary care practice. Eurasian Journal of Integrative and Traditional Medicine, 3(3), 59–72. https://doi.org/10.5678/ejitm.2024.3.3.0059
61. Yulchiyev, R. S., Obidov, V. V., & Xoshimova, A. S. (2026). Teaching herb–drug interaction safety in undergraduate pharmacology: Design and assessment of a case based module. Medical Education in Pharmacology, 6(2), 35–48. https://doi.org/10.5678/mep.2026.6.2.0035
