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Strategies in Trauma and Limb Reconstruction

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Open Access 01-04-2011 | Original Article

Arthroplasty versus internal fixation for femoral neck fractures in the elderly

Authors: Vassilios Nicolaides, Spyridon Galanakos, Andreas F. Mavrogenis, Vasileios I. Sakellariou, Ioannis Papakostas, Constantinos E. Nikolopoulos, Panayiotis J. Papagelopoulos

Published in: Strategies in Trauma and Limb Reconstruction | Issue 1/2011

Abstract

We studied 140 patients with femoral neck fractures treated from January 1999 to December 2006. There were 68 men and 72 women with a mean age of 72 years (range 60–80 years). Seventy patients were treated with closed reduction and internal fixation (group A), and 70 patients with hip arthroplasty (group B). The duration of surgery, length of hospitalization, complications, postoperative Harris hip score, and need for reoperation were recorded. Group B had significantly higher blood loss, increased surgical time and length of hospitalization compared to group A patients. The Harris hip score was significantly higher in group B at the 3, 6, and 12-month follow-up evaluations; however, the differences were no longer significant at the 24-month evaluation. The overall complications rate was 18.6% (13 patients) in group A compared to 25.7% (18 patients) in group B; this was not statistically significant (P = 0.309). A statistically significant difference was found regarding reoperation rate in group A (11.4%, eight patients) compared to group B (1.4%, one patient) (P = 0.016). Arthroplasty compared to internal fixation for displaced femoral neck fractures is associated with a significantly higher functional score and lower risk of reoperation at the cost of greater infection rates, blood loss, and operative time.

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Title: Arthroplasty versus internal fixation for femoral neck fractures in the elderly
Authors: Vassilios Nicolaides
Spyridon Galanakos
Andreas F. Mavrogenis
Vasileios I. Sakellariou
Ioannis Papakostas
Constantinos E. Nikolopoulos
Panayiotis J. Papagelopoulos
Publication date: 01-04-2011
Publisher: Springer Milan
Published in: Strategies in Trauma and Limb Reconstruction / Issue 1/2011
Print ISSN: 1828-8936
Electronic ISSN: 1828-8928
DOI: https://doi.org/10.1007/s11751-010-0099-3

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