{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:22:24Z","timestamp":1791922944864,"version":"4.3.4"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T00:00:00Z","timestamp":1681689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to demonstrate that dual-mobility cup total hip arthroplasty (DMC-THA) can significantly improve the quality of life (QOL) of elderly femoral neck fracture patients with severe neuromuscular disease in unilateral lower extremities due to stroke hemiplegia compared to internal fixation (IF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty-eight cases of severe neuromuscular disease in the unilateral lower extremities with muscle strength\u2009&amp;lt;\u2009grade 3\/5 due to stroke were retrospectively examined From January 2015 to December 2020. Then, patients were divided into DMC and IF groups. The QOL was examined using the EQ-5D and SF-36 outcome measures. The physical and mental statuses were assessed using the Barthel Index (BI) and e Fall Efficacy Scale-International (FES-I), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients in the DMC group had higher BI scores than those in the IF group at different time point. Regarding mental status, the FES-I mean score was 42.1\u2009\u00b1\u20095.3 in the DMC group and 47.3\u2009\u00b1\u20095.6 in the IF group (<jats:italic>p<\/jats:italic>\u2009=\u20090.002). For the QOL, the mean SF-36 score was 46.1\u2009\u00b1\u200918.3 for the health component and 59.5\u2009\u00b1\u200915.0 for the mental component in the DMC group compared to 35.3\u2009\u00b1\u200916.2 (<jats:italic>p<\/jats:italic>\u2009=\u20090.035), and 46.6\u2009\u00b1\u200917.4 (<jats:italic>p<\/jats:italic>\u2009=\u20090.006) compared to the IF group. The mean EQ-5D-5L values were 0.733\u2009\u00b1\u20090.190 and 0.303\u2009\u00b1\u20090.227 in the DMC and IF groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.035), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DMC-THA significantly improved postoperative QOL compared to IF in elderly patients with femoral neck fractures and severe neuromuscular dysfunction in the lower extremity after stroke. The improved outcomes were related to the enhanced early, rudimentary motor function of patients.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1120273","type":"journal-article","created":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T04:34:06Z","timestamp":1681706046000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Dual-mobility cup total hip arthroplasty improves the quality of life compared to internal fixation in femoral neck fractures patients with severe neuromuscular disease in the lower extremity after stroke: a retrospective study"],"prefix":"10.3389","volume":"10","author":[{"given":"Chaolun","family":"Liang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bojian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhifeng","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongming","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1016\/j.ygeno.2021.03.003","article-title":"Coding and non-coding nucleotides\u2019: the future of stroke gene therapeutics","volume":"113","author":"Chavda","year":"2021","journal-title":"Genomics"},{"key":"B2","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s12938-018-0446-z","article-title":"A novel one arm motorized walker for hemiplegic stroke survivors: a feasibility study","volume":"17","author":"Cho","year":"2018","journal-title":"Biomed Eng Online"},{"key":"B3","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1007\/s00198-019-05175-4","article-title":"The impact of stroke on bone properties and muscle-bone relationship: a systematic review and meta-analysis","volume":"31","author":"Yang","year":"2020","journal-title":"Osteoporos Int"},{"key":"B4","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1016\/j.neurol.2022.01.012","article-title":"Loss of bone mineral density in hemiplegic patients after stroke: prospective single-center study","volume":"178","author":"Potin","year":"2022","journal-title":"Rev Neurol (Paris)"},{"key":"B5","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1186\/s13018-021-02572-6","article-title":"Cemented versus uncemented hemiarthroplasty for femoral neck fractures in patients with neuromuscular diseases: a minimum of 2 years\u2019 follow-up study","volume":"16","author":"Wang","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"B6","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1302\/0301-620X.100B1.BJJ-2017-0571.R1","article-title":"Total hip arthroplasty in patients with neuromuscular imbalance","author":"Konan","year":"2018","journal-title":"Bone Joint J"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1016\/j.arth.2017.12.034","article-title":"Risk factors for early dislocation following primary elective total hip arthroplasty","volume":"33","author":"Gausden","year":"2018","journal-title":"J Arthroplasty"},{"key":"B8","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1080\/000164700317362235","article-title":"Internal fixation versus total hip arthroplasty in the treatment of displaced femoral neck fractures: a prospective randomized study of 100 hips","volume":"71","author":"Johansson","year":"2000","journal-title":"Acta Orthop Scand"},{"key":"B9","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3109\/09638280902980910","article-title":"Long-term effects of home rehabilitation after hip fracture\u20141-year follow-up of functioning, balance confidence, and health-related quality of life in elderly people","volume":"32","author":"Zid\u00e9n","year":"2010","journal-title":"Disabil Rehabil"},{"key":"B10","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.jpsychores.2015.02.002","article-title":"Family caregivers\u2019 mental health is associated with postoperative recovery of elderly patients with hip fracture: a sample in Taiwan","volume":"78","author":"Liu","year":"2015","journal-title":"J Psychosom Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e20.00028","DOI":"10.2106\/JBJS.RVW.20.00028","article-title":"The use of dual mobility implants in patients who are at high risk for dislocation after primary total hip arthroplasty","volume":"8","author":"Young","year":"2020","journal-title":"JBJS Rev"},{"key":"B12","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1055\/s-0040-1702951","article-title":"Dual mobility cup in total hip arthroplasty. 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