Objective: The investigation of the epidemiological status of patients who underwent partial hip replacement is necessary by evaluating their postoperative status based on the hip score so as to examine the effect of additional diseases on postoperative recovery and survival.

Methods: A total of 99 patients who underwent partial hip replacement between September 2013 and 2017 for femoral neck fracture were included in the study. Preoperative diabetes status and presence of additional diseases were examined. Harris scoring form was filled up by all patients. Osteoporosis treatment and additional fracture were evaluated at the final follow-up examination.

Results: The mean age of the 99 study subjects [36 (36.4%) men, 63 (63.6%) women] of all, 18 (18.2%) patients had diabetes and 12 (12.1%) had postoperative fractures. In addition, 17 (17.2%) patients received regular osteoporosis treatment and 4 patients (4.1%) were diagnosed with malignancy from the femoral head. Additional diseases were recorded in 21 (21.2%) patients. The mean Hip Harris score of the patients was 53.62±12.71. A total of 22 (22.2%) patients died during the follow-up. Exitus was significantly lower in patients with high postoperative Harris score (p<0.001). No differences were noted between the alive and dead patients with respect to the factors of age, sex, diabetes, additional fracture, and other diseases. Exitus was significantly lower in patients receiving regular osteoporosis treatment (p=0.001). No difference was noted in terms of living additional fracture, age, and Harris score. The sex of the patient had no significant effect on the Harris score.

Conclusion: The most important factors affecting survival in patients who were followed up for femoral neck fracture included the high postoperative Harris score, regular osteoporosis treatment received by the patients, and additional fracture experiences.