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J Arthroplasty. 2012 Feb;27(2):246-52. doi: 10.1016/j.arth.2011.04.041. Epub 2011 Dec 3.

Treatment of displaced neck fractures of the femur with total hip arthroplasty.

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  • 1Teaching and Research Institute, Sírio Libanês Hospital, São Paulo, Brazil.


We report our experience in unstable fractures of the femoral neck in a consecutive series of patients who underwent total hip arthroplasty. Over a period of 12 years, 88 patients were treated with a cemented total hip arthroplasty; 3 patients were lost to follow-up, leaving 86 fractures (85 patients) for retrospective analysis. Seven patients had dislocations, all but 1 of which were treated successfully without reoperation. Four patients required reoperation in the same hip undergoing arthroplasty. There was a graded increase in mortality rates across the continuum of risk groups at the time of surgery. The low incidence (4.6%) of a second procedure on the hip repaired initially, as well as low mortality rates, makes this treatment strategy quite satisfactory.

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