Primary hemiarthroplasty in old patients with displaced femoral neck fracture: a 1-year follow-up of 103 patients aged 80 years or more
(2002) In Acta Orthopaedica Scandinavica 73(6). p.605-610- Abstract
- 103 patients with displaced femoral neck fractures (Garden 3-4) treated with primary hemiarthroplasty in the Department of Orthopedics, Malmö University Hospital, Sweden 1998-1999 were followed in a prospective, consecutive study for 1 year. Inclusion criteria were age of at least 80 years, signs of mental changes and/or residence in an institution. The control group consisted of 69 patients with internal fixation (Hansson hook pins). The arthroplasty group required more blood transfusions, a longer operation and had more superficial infections. No differences were detected as regards other complications, length of hospital stay, in-hospital mortality or ability to return home. The 1-year mortality rates were similar in the arthroplasty... (More)
- 103 patients with displaced femoral neck fractures (Garden 3-4) treated with primary hemiarthroplasty in the Department of Orthopedics, Malmö University Hospital, Sweden 1998-1999 were followed in a prospective, consecutive study for 1 year. Inclusion criteria were age of at least 80 years, signs of mental changes and/or residence in an institution. The control group consisted of 69 patients with internal fixation (Hansson hook pins). The arthroplasty group required more blood transfusions, a longer operation and had more superficial infections. No differences were detected as regards other complications, length of hospital stay, in-hospital mortality or ability to return home. The 1-year mortality rates were similar in the arthroplasty (29/103) and control groups (28/69). Within 1 year, we found a lower failure rate in the arthroplasty group (6/103) than in the control group (18/69). In the arthroplasty group, 2/103 had dislocations. Of the surviving arthroplasty patients at 12 months, 31/74 could walk as well as before the fracture and 55/74 had no pain. We recommend primary hemiarthroplasty for demented and/or institutionalized patients over 80 years with displaced femoral neck fractures. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/118624
- author
- Rogmark, Cecilia LU ; Carlsson, Åke LU ; Johnell, Olof LU and Sernbo, Ingemar LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Arthroplasty, Fracture Fixation Internal, physiopathology, Femoral Neck Fractures
- in
- Acta Orthopaedica Scandinavica
- volume
- 73
- issue
- 6
- pages
- 605 - 610
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:12553504
- wos:000180091200001
- scopus:0036918580
- ISSN
- 1745-3682
- DOI
- 10.1080/000164702321039534
- language
- English
- LU publication?
- yes
- id
- 1ba8b9a3-2328-4387-b3d8-9c46a0ddf22f (old id 118624)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=Display&DB=PubMed
- date added to LUP
- 2016-04-04 11:49:17
- date last changed
- 2022-01-29 22:31:05
@article{1ba8b9a3-2328-4387-b3d8-9c46a0ddf22f,
abstract = {{103 patients with displaced femoral neck fractures (Garden 3-4) treated with primary hemiarthroplasty in the Department of Orthopedics, Malmö University Hospital, Sweden 1998-1999 were followed in a prospective, consecutive study for 1 year. Inclusion criteria were age of at least 80 years, signs of mental changes and/or residence in an institution. The control group consisted of 69 patients with internal fixation (Hansson hook pins). The arthroplasty group required more blood transfusions, a longer operation and had more superficial infections. No differences were detected as regards other complications, length of hospital stay, in-hospital mortality or ability to return home. The 1-year mortality rates were similar in the arthroplasty (29/103) and control groups (28/69). Within 1 year, we found a lower failure rate in the arthroplasty group (6/103) than in the control group (18/69). In the arthroplasty group, 2/103 had dislocations. Of the surviving arthroplasty patients at 12 months, 31/74 could walk as well as before the fracture and 55/74 had no pain. We recommend primary hemiarthroplasty for demented and/or institutionalized patients over 80 years with displaced femoral neck fractures.}},
author = {{Rogmark, Cecilia and Carlsson, Åke and Johnell, Olof and Sernbo, Ingemar}},
issn = {{1745-3682}},
keywords = {{Arthroplasty; Fracture Fixation Internal; physiopathology; Femoral Neck Fractures}},
language = {{eng}},
number = {{6}},
pages = {{605--610}},
publisher = {{Taylor & Francis}},
series = {{Acta Orthopaedica Scandinavica}},
title = {{Primary hemiarthroplasty in old patients with displaced femoral neck fracture: a 1-year follow-up of 103 patients aged 80 years or more}},
url = {{https://lup.lub.lu.se/search/files/5862874/623894.pdf}},
doi = {{10.1080/000164702321039534}},
volume = {{73}},
year = {{2002}},
}