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Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures: results at ten years in a randomised study of 450 patients.

Leonardsson, Olof LU ; Sernbo, Ingemar LU ; Carlsson, A; Åkesson, Kristina LU and Rogmark, Cecilia LU (2010) In Journal of Bone and Joint Surgery: British Volume 92(3). p.406-412
Abstract
In a series of 450 patients over 70 years of age with displaced fractures of the femoral neck sustained between 1995 and 1997 treatment was randomised either to internal fixation or replacement. Depending on age and level of activity the latter was either a total hip replacement or a hemiarthroplasty. Patients who were confused or bed-ridden were excluded, as were those with rheumatoid arthritis. At ten years there were 99 failures (45.6%) after internal fixation compared with 17 (8.8%) after replacement. The rate of mortality was high at 75% at ten years, and was the same in both groups at all times. Patient-reported pain and function were similar in both groups at five and ten years. Those with successfully healed fractures had more hip... (More)
In a series of 450 patients over 70 years of age with displaced fractures of the femoral neck sustained between 1995 and 1997 treatment was randomised either to internal fixation or replacement. Depending on age and level of activity the latter was either a total hip replacement or a hemiarthroplasty. Patients who were confused or bed-ridden were excluded, as were those with rheumatoid arthritis. At ten years there were 99 failures (45.6%) after internal fixation compared with 17 (8.8%) after replacement. The rate of mortality was high at 75% at ten years, and was the same in both groups at all times. Patient-reported pain and function were similar in both groups at five and ten years. Those with successfully healed fractures had more hip pain and reduction of mobility at four months compared with patients with an uncomplicated replacement, and they never attained a better outcome than the latter patients regarding pain or function. Primary replacement gave reliable long-term results in patients with a displaced fracture of the femoral neck. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Fracture Fixation, Femoral Neck Fractures: surgery, Femoral Neck Fractures: rehabilitation, Hip: methods, Replacement, Arthroplasty, Hip: rehabilitation, Internal: methods, Internal: rehabilitation, Hip Dislocation: etiology, Reoperation: methods, Reoperation: statistics & numerical data
in
Journal of Bone and Joint Surgery: British Volume
volume
92
issue
3
pages
406 - 412
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • wos:000275006000014
  • pmid:20190313
  • scopus:77649195480
ISSN
2044-5377
DOI
10.1302/0301-620X.92B3.23036
language
English
LU publication?
yes
id
5c24c9e3-0fee-4686-b91b-ef85f97de675 (old id 1582754)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20190313?dopt=Abstract
date added to LUP
2010-04-07 10:33:16
date last changed
2018-10-27 00:51:09
@article{5c24c9e3-0fee-4686-b91b-ef85f97de675,
  abstract     = {In a series of 450 patients over 70 years of age with displaced fractures of the femoral neck sustained between 1995 and 1997 treatment was randomised either to internal fixation or replacement. Depending on age and level of activity the latter was either a total hip replacement or a hemiarthroplasty. Patients who were confused or bed-ridden were excluded, as were those with rheumatoid arthritis. At ten years there were 99 failures (45.6%) after internal fixation compared with 17 (8.8%) after replacement. The rate of mortality was high at 75% at ten years, and was the same in both groups at all times. Patient-reported pain and function were similar in both groups at five and ten years. Those with successfully healed fractures had more hip pain and reduction of mobility at four months compared with patients with an uncomplicated replacement, and they never attained a better outcome than the latter patients regarding pain or function. Primary replacement gave reliable long-term results in patients with a displaced fracture of the femoral neck.},
  author       = {Leonardsson, Olof and Sernbo, Ingemar and Carlsson, A and Åkesson, Kristina and Rogmark, Cecilia},
  issn         = {2044-5377},
  keyword      = {Fracture Fixation,Femoral Neck Fractures: surgery,Femoral Neck Fractures: rehabilitation,Hip: methods,Replacement,Arthroplasty,Hip: rehabilitation,Internal: methods,Internal: rehabilitation,Hip Dislocation: etiology,Reoperation: methods,Reoperation: statistics & numerical data},
  language     = {eng},
  number       = {3},
  pages        = {406--412},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {Journal of Bone and Joint Surgery: British Volume},
  title        = {Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures: results at ten years in a randomised study of 450 patients.},
  url          = {http://dx.doi.org/10.1302/0301-620X.92B3.23036},
  volume       = {92},
  year         = {2010},
}