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The (un)necessity of regular postoperative follow-up of hemiarthroplasty for femoral neck fractures

Injury Mar 03, 2021

Schmitz PP, van Leent EAP, de Jong LD, et al. - This research was sought to verify the current common practice regarding postoperative visits of patients treated with hemiarthroplasty and to evaluate the complication detection rate at these visits. Researchers performed a national short survey among orthopedic surgeons working in 26 large Dutch teaching hospitals to investigate the hypothesis that postoperative follow-up is indeed common practice. Between January 2014 and December 2019, they conducted a retrospective patient review in all hemiarthroplasties implanted. During the studied period, a total of 1,055 hips (1,026 patients) were implanted with hemiarthroplasty. In patients treated with hemiarthroplasty, postoperative follow-up is still the standard of care. Nevertheless, this research demonstrated that the majority of implant-related complications are diagnosed at unplanned visits and almost no at standard follow-up visits. The outcomes suggested that the postoperative follow-up of patients treated with hemiarthroplasty could be abandoned in this frail population.

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