Conservative vs surgical treatment of impacted femoral neck fracture in patients 75 years and older
Journal of the American Geriatrics Society May 20, 2020
Wei P, Xu Y, Gu Y, et al. - This study was undertaken to investigate the safety and efficacy of conservative treatment (CST), internal fixation (IF), and hemiarthroplasty (HA) in treating patients older than 75 years with impacted femoral neck fracture (IFNF). Researchers designed a randomized clinical trial to correlate clinical outcomes of CST, IF, and HA in IFNF patients older than 75 years with a 1:1:1 ratio. Nanjing First Hospital, Nanjing Medical University, Nanjing, China. This analysis enrolled a sum of 154 patients with IFNF aged between 75 and 97 years at Nanjing First Hospital, Nanjing Medical University, Nanjing, China. Via Harris hip score, all patients were assessed (primary outcome) for hip function, European Quality of Life‐5 Dimensions (EQ‐5D) index scores for health‐related quality of life, and visual analogue scale score for hip pain. They further reported operation duration, blood loss, mortality, union rate, complications, and reoperation. The data reveal that in the older patients, CST may be a useful way for IFNF.
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