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Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients.

Leonardsson, Olof LU ; Rogmark, Cecilia LU ; Kärrholm, J; Åkesson, Kristina LU and Garellick, G (2009) In Journal of Bone and Joint Surgery: British Volume 91(5). p.595-600
Abstract
Between 1999 and 2005, 10 264 patients who had undergone total hip replacement (THR) for subcapital fracture of the hip were compared with 76 520 in whom THR had been performed for other reasons. All the cases were identified through the Swedish Hip Arthroplasty Register. The THRs performed as primary treatment for fracture were also compared with those done after failure of internal fixation. After seven years the rate of revision was higher in THR after fracture (4.4% vs 2.9%). Dislocation and periprosthetic fracture were the most common causes of revision. The risk was higher in men than in women. The type of femoral component and the surgical approach influenced the risk. After correction for gender, type of component and the surgical... (More)
Between 1999 and 2005, 10 264 patients who had undergone total hip replacement (THR) for subcapital fracture of the hip were compared with 76 520 in whom THR had been performed for other reasons. All the cases were identified through the Swedish Hip Arthroplasty Register. The THRs performed as primary treatment for fracture were also compared with those done after failure of internal fixation. After seven years the rate of revision was higher in THR after fracture (4.4% vs 2.9%). Dislocation and periprosthetic fracture were the most common causes of revision. The risk was higher in men than in women. The type of femoral component and the surgical approach influenced the risk. After correction for gender, type of component and the surgical approach the revision rates were similar in the primary and secondary fracture THR groups. Total hip replacement is therefore a safe method for both the primary and secondary management of fracture of the hip. (Less)
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Contribution to journal
publication status
published
subject
in
Journal of Bone and Joint Surgery: British Volume
volume
91
issue
5
pages
595 - 600
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • wos:000265680700005
  • pmid:19407291
  • scopus:65649137688
ISSN
2044-5377
DOI
10.1302/0301-620X.91B5.22224
language
English
LU publication?
yes
id
ce0eb5d7-e916-401d-836d-371d5db379f5 (old id 1412797)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19407291?dopt=Abstract
date added to LUP
2009-06-01 09:04:48
date last changed
2017-12-05 10:31:41
@article{ce0eb5d7-e916-401d-836d-371d5db379f5,
  abstract     = {Between 1999 and 2005, 10 264 patients who had undergone total hip replacement (THR) for subcapital fracture of the hip were compared with 76 520 in whom THR had been performed for other reasons. All the cases were identified through the Swedish Hip Arthroplasty Register. The THRs performed as primary treatment for fracture were also compared with those done after failure of internal fixation. After seven years the rate of revision was higher in THR after fracture (4.4% vs 2.9%). Dislocation and periprosthetic fracture were the most common causes of revision. The risk was higher in men than in women. The type of femoral component and the surgical approach influenced the risk. After correction for gender, type of component and the surgical approach the revision rates were similar in the primary and secondary fracture THR groups. Total hip replacement is therefore a safe method for both the primary and secondary management of fracture of the hip.},
  author       = {Leonardsson, Olof and Rogmark, Cecilia and Kärrholm, J and Åkesson, Kristina and Garellick, G},
  issn         = {2044-5377},
  language     = {eng},
  number       = {5},
  pages        = {595--600},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {Journal of Bone and Joint Surgery: British Volume},
  title        = {Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients.},
  url          = {http://dx.doi.org/10.1302/0301-620X.91B5.22224},
  volume       = {91},
  year         = {2009},
}