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Primary hemiarthroplasty in old patients with displaced femoral neck fracture: a 1-year follow-up of 103 patients aged 80 years or more

Rogmark, Cecilia LU ; Carlsson, Åke LU ; Johnell, Olof LU and Sernbo, Ingemar LU (2002) In Acta Orthop Scand 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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arthroplasty, Fracture Fixation Internal, physiopathology, Femoral Neck Fractures
in
Acta Orthop Scand
volume
73
issue
6
pages
605 - 610
publisher
Taylor & Francis
external identifiers
  • pmid:12553504
  • wos:000180091200001
  • scopus:0036918580
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
2007-07-30 12:32:15
date last changed
2017-10-08 04:41:07
@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},
  keyword      = {Arthroplasty,Fracture Fixation Internal,physiopathology,Femoral Neck Fractures},
  language     = {eng},
  number       = {6},
  pages        = {605--610},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthop Scand},
  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          = {http://dx.doi.org/10.1080/000164702321039534},
  volume       = {73},
  year         = {2002},
}