The total costs of a displaced femoral neck fracture: comparison of internal fixation and total hip replacement
نویسندگان
چکیده
منابع مشابه
Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly.
The treatment algorithms for displaced fractures of the femoral neck need to be improved if we are to reduce the need for secondary surgery. We have studied 102 patients of mean age 80 years, with an acute displaced fracture of the femoral neck. They were randomly placed into two groups, treated either by internal fixation (IF) with two cannulated screws or total hip replacement (THR). None sho...
متن کاملComparison of internal fixation with total hip replacement for displaced femoral neck fractures. Randomized, controlled trial performed at four years.
BACKGROUND Recent randomized, controlled trials performed at two years postoperatively have shown that a primary total hip replacement is superior to internal fixation for the treatment of a displaced femoral neck fracture in a relatively healthy, mentally competent, elderly patient. The primary aim of the present study was to evaluate the outcomes at four years. METHODS One hundred and two p...
متن کاملSecondary total hip replacement after fractures of the femoral neck.
We studied the rate of revision in 84 consecutive total hip replacements performed for failed osteosynthesis of femoral neck fractures and compared it with that for primary arthroplasty for osteoarthritis. The age and sex adjusted risk of prosthetic failure was 2.5 times higher after failure of fixation, but all the excess risk was in patients over 70 years of age. There were radiographic signs...
متن کاملA comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck: a randomised controlled multicentre trial in patients aged 70 years and over.
The aim of this study was to analyse the functional outcome after a displaced intracapsular fracture of the femoral neck in active patients aged over 70 years without osteoarthritis or rheumatoid arthritis of the hip, randomised to receive either a hemiarthroplasty or a total hip replacement (THR). We studied 252 patients of whom 47 (19%) were men, with a mean age of 81.1 years (70.2 to 95.6). ...
متن کاملTotal hip replacement versus open reduction and internal fixation of displaced femoral neck fractures: a randomized long-term follow-up study.
BACKGROUND Clinical trials with short and intermediate-term follow-up have demonstrated superior results for total hip replacement as compared with internal fixation with regard to hip function and the need for secondary surgery in elderly patients with a displaced intracapsular femoral neck fracture. The aim of the present study was to compare the results of total hip replacement with those of...
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ژورنال
عنوان ژورنال: International Orthopaedics
سال: 2005
ISSN: 0341-2695,1432-5195
DOI: 10.1007/s00264-005-0037-z