Functional outcome after displaced femoral neck fractures treated with osteosynthesis or hemiarthroplasty - A matched-pair study of 714 patients
(2002) In Acta Orthopaedica Scandinavica 73(5). p.496-501- Abstract
- Osteosynthesis (OS) and hemiarthroplasty (RA) are the commonest treatments for displaced cervical hip fractures in the elderly, but there is no consensus as to which is better. In this prospective matched-pair study we compared these methods as regards functional outcome. In 1989-1996, using the same standardized forms, all displaced cervical hip fractures were prospectively registered in the university hospitals of Oulu in Finland and Lund in Sweden. Osteosynthesis was performed in Lund and hemiarthroplasty in Oulu. Cross-matching, done for age, sex, preoperative residence, and ambulatory ability, resulted in 357 pairs of displaced fractures. More OS than HA patients could manage in their own homes or live semi-independently at 4 months... (More)
- Osteosynthesis (OS) and hemiarthroplasty (RA) are the commonest treatments for displaced cervical hip fractures in the elderly, but there is no consensus as to which is better. In this prospective matched-pair study we compared these methods as regards functional outcome. In 1989-1996, using the same standardized forms, all displaced cervical hip fractures were prospectively registered in the university hospitals of Oulu in Finland and Lund in Sweden. Osteosynthesis was performed in Lund and hemiarthroplasty in Oulu. Cross-matching, done for age, sex, preoperative residence, and ambulatory ability, resulted in 357 pairs of displaced fractures. More OS than HA patients could manage in their own homes or live semi-independently at 4 months after the fracture. OS patients had better ambulatory ability (p = 0.001) and used walking aids less than HA ones (p = 0.001). The reoperation rates at 4 months were the same among HA and OS patients, but at 1 year, OS patients had a higher reoperation rate (17%) than HA ones (9.5%). (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/324626
- author
- Partanen, J ; Saarenpaa, I ; Heikkinen, T ; Wingstrand, Hans LU ; Thorngren, Karl-Göran LU and Jalovaara, P
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Orthopaedica Scandinavica
- volume
- 73
- issue
- 5
- pages
- 496 - 501
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000178962000003
- pmid:12440490
- scopus:0036773997
- ISSN
- 0001-6470
- language
- English
- LU publication?
- yes
- id
- ca5215fb-182d-4cd3-8c17-1187e8a7f7aa (old id 324626)
- alternative location
- http://docserver.ingentaconnect.com/deliver/connect/tandf/00016470/v73n5/s2.pdf?expires=1195485451&id=40741579&titleid=1025&accname=Lund+University+Libraries&checksum=6EA016F1DC62132031E2D85F572C427E
- date added to LUP
- 2016-04-01 17:00:47
- date last changed
- 2022-02-05 20:08:51
@article{ca5215fb-182d-4cd3-8c17-1187e8a7f7aa, abstract = {{Osteosynthesis (OS) and hemiarthroplasty (RA) are the commonest treatments for displaced cervical hip fractures in the elderly, but there is no consensus as to which is better. In this prospective matched-pair study we compared these methods as regards functional outcome. In 1989-1996, using the same standardized forms, all displaced cervical hip fractures were prospectively registered in the university hospitals of Oulu in Finland and Lund in Sweden. Osteosynthesis was performed in Lund and hemiarthroplasty in Oulu. Cross-matching, done for age, sex, preoperative residence, and ambulatory ability, resulted in 357 pairs of displaced fractures. More OS than HA patients could manage in their own homes or live semi-independently at 4 months after the fracture. OS patients had better ambulatory ability (p = 0.001) and used walking aids less than HA ones (p = 0.001). The reoperation rates at 4 months were the same among HA and OS patients, but at 1 year, OS patients had a higher reoperation rate (17%) than HA ones (9.5%).}}, author = {{Partanen, J and Saarenpaa, I and Heikkinen, T and Wingstrand, Hans and Thorngren, Karl-Göran and Jalovaara, P}}, issn = {{0001-6470}}, language = {{eng}}, number = {{5}}, pages = {{496--501}}, publisher = {{Taylor & Francis}}, series = {{Acta Orthopaedica Scandinavica}}, title = {{Functional outcome after displaced femoral neck fractures treated with osteosynthesis or hemiarthroplasty - A matched-pair study of 714 patients}}, url = {{http://docserver.ingentaconnect.com/deliver/connect/tandf/00016470/v73n5/s2.pdf?expires=1195485451&id=40741579&titleid=1025&accname=Lund+University+Libraries&checksum=6EA016F1DC62132031E2D85F572C427E}}, volume = {{73}}, year = {{2002}}, }