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Functional outcome after displaced femoral neck fractures treated with osteosynthesis or hemiarthroplasty - A matched-pair study of 714 patients

Partanen, J; Saarenpaa, I; Heikkinen, T; Wingstrand, Hans LU ; Thorngren, Karl-Göran LU and Jalovaara, P (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)
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type
Contribution to journal
publication status
published
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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
2007-11-19 15:47:59
date last changed
2017-11-27 12:52:54
@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},
  volume       = {73},
  year         = {2002},
}