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Treatment of displaced intracapsular fractures of the femoral neck with total hip arthroplasty or hemiarthroplasty

The Bone & Joint Journal Jun 28, 2020

Viswanath A, Malik A, Chan W, et al. - This study was sought to compare results of all patients with displacement of these fractures treated surgically over a ten-year period in one institution. Researchers retrospectively studied a sum of 2,721 patients with intracapsular fractures of the femoral neck treated with either a cemented hemiarthroplasty or a total hip arthroplasty (THA) at a single centre. The primary endpoints included readmission for any reason and revision surgery. Secondarily, they looked at mortality rates. Comparing the outcomes of neck of femur fractures treated with a cemented hemiarthroplasty and THA, this research revealed the perceived superiority of THA was not borne out by the outcomes. For displaced intracapsular fractures of the femoral neck, this should be carefully considered before any radical change in practice regarding the use of THA.

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