Format

Send to

Choose Destination
See comment in PubMed Commons below
Acta Orthop. 2013 Dec;84(6):555-60. doi: 10.3109/17453674.2013.867763. Epub 2013 Nov 29.

The natural history of the hemiarthroplasty for displaced intracapsular femoral neck fractures.

Author information

1
Department of Orthopaedic Surgery of the Onze Lieve Vrouwe Gasthuis , Amsterdam , the Netherlands.

Abstract

BACKGROUND:

Numerous papers have been published on the medium- and long-term results of hemiarthroplasties (HAs) after femoral neck fracture in the elderly. We were not aware of any articles that describe the outcome of HA until the patient dies.

METHODS:

Between 1975 and 1989, 307 bipolar hemiarthroplasties were performed in 302 consecutive patients with a displaced femoral neck facture. Patients with osteoarthritis of the hip, rheumatoid arthritis (RA), or senile dementia were not included in the study. All patients were followed annually until they died or until they needed a revision operation.

RESULTS:

The mortality rate was 28% after 1 year, and 63% after 5 years. The last patient who did not need a revision operation died in October 2010. Revision operations for aseptic loosening, protrusion, or both had to be performed in 34 patients (16%). A difference in reoperation rate was observed between patients less than 75 years of age (38%) and those who were older (6%).

INTERPRETATION:

Apart from age below 75 years, male sex appeared to be predictive of a revision operation. HA is a safe and relatively inexpensive treatment for patients over 75 years of age with a displaced femoral neck fracture.

PMID:
24286565
PMCID:
PMC3851669
DOI:
10.3109/17453674.2013.867763
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Taylor & Francis Icon for PubMed Central
    Loading ...
    Support Center