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Orthopaedic treatment of displaced femoral neck fractures in elderly patients

Rogmark, Cecilia LU and Johnell, Olof LU (2005) In Disability and Rehabilitation 27(18-19). p.1143-1149
Abstract
Purpose and method: A review article concerning orthopaedic treatment and rehabilitation of displaced femoral neck fractures, focusing on evidence-based knowledge. Results: Properly performed randomized controlled studies comparing internal fixation and primary arthroplasty provides the best basis to decide which method should be used. During the last decade, several such studies have been published, in addition to a few earlier works. After internal fixation with pins, screws or sliding hip screw and plate, the failure rate was 21-57% and re-operations were performed in 14-53% of all the cases. In the studies using THA, the failure rate was 4-11% and the re-operation rate 2-8%. The corresponding numbers for hemi-arthroplasty were 3-23%... (More)
Purpose and method: A review article concerning orthopaedic treatment and rehabilitation of displaced femoral neck fractures, focusing on evidence-based knowledge. Results: Properly performed randomized controlled studies comparing internal fixation and primary arthroplasty provides the best basis to decide which method should be used. During the last decade, several such studies have been published, in addition to a few earlier works. After internal fixation with pins, screws or sliding hip screw and plate, the failure rate was 21-57% and re-operations were performed in 14-53% of all the cases. In the studies using THA, the failure rate was 4-11% and the re-operation rate 2-8%. The corresponding numbers for hemi-arthroplasty were 3-23% and 0-24%. A primary arthroplasty tends to result in better function and less pain during the rehabilitation period. Conclusion: With support in evidence-based literature, an elderly patient with displaced femoral neck fracture should be treated with a primary arthroplasty. If the individual is healthy, active and mentally intact, a total hip arthroplasty should be performed, otherwise a hemi-arthroplasty. This rationale ensures fewer failures and re-operations, as well as better function and less pain during the rehabilitation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
controlled study, randomized, internal fixation, arthroplasty, re-operation, remoral neck fracture
in
Disability and Rehabilitation
volume
27
issue
18-19
pages
1143 - 1149
publisher
Taylor & Francis
external identifiers
  • wos:000233114700014
  • scopus:28244454663
ISSN
0963-8288
DOI
10.1080/09638280500055933
language
English
LU publication?
yes
id
1f04537c-c5dc-4a0f-b04f-4a9ddd718510 (old id 898762)
date added to LUP
2008-01-22 15:10:26
date last changed
2017-01-01 04:24:39
@article{1f04537c-c5dc-4a0f-b04f-4a9ddd718510,
  abstract     = {Purpose and method: A review article concerning orthopaedic treatment and rehabilitation of displaced femoral neck fractures, focusing on evidence-based knowledge. Results: Properly performed randomized controlled studies comparing internal fixation and primary arthroplasty provides the best basis to decide which method should be used. During the last decade, several such studies have been published, in addition to a few earlier works. After internal fixation with pins, screws or sliding hip screw and plate, the failure rate was 21-57% and re-operations were performed in 14-53% of all the cases. In the studies using THA, the failure rate was 4-11% and the re-operation rate 2-8%. The corresponding numbers for hemi-arthroplasty were 3-23% and 0-24%. A primary arthroplasty tends to result in better function and less pain during the rehabilitation period. Conclusion: With support in evidence-based literature, an elderly patient with displaced femoral neck fracture should be treated with a primary arthroplasty. If the individual is healthy, active and mentally intact, a total hip arthroplasty should be performed, otherwise a hemi-arthroplasty. This rationale ensures fewer failures and re-operations, as well as better function and less pain during the rehabilitation.},
  author       = {Rogmark, Cecilia and Johnell, Olof},
  issn         = {0963-8288},
  keyword      = {controlled study,randomized,internal fixation,arthroplasty,re-operation,remoral neck fracture},
  language     = {eng},
  number       = {18-19},
  pages        = {1143--1149},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Orthopaedic treatment of displaced femoral neck fractures in elderly patients},
  url          = {http://dx.doi.org/10.1080/09638280500055933},
  volume       = {27},
  year         = {2005},
}