Why the study?
Does primary prosthetic replacement compared to internal fixation improve outcomes in patients with fresh fractures of the neck of the femur?
Population
200 patients with fresh fractures of the neck of the femur
Comparison
Primary prosthetic replacement (n=100) vs Internal fixation (n=100)
Design
Cohort
Authors
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Internal fixation associated with lower mortality than prosthetic replacement in femoral neck fractures; leaves open need for randomized confirmation before practice change.
Does primary prosthetic replacement compared to internal fixation improve outcomes in patients with fresh fractures of the neck of the femur?
Internal fixation offers lower morbidity and mortality compared to primary prosthetic replacement for fresh femoral neck fractures, suggesting prostheses should be reserved for cases where accurate reduction is impossible or in pathological fractures.
Gordon A. Hunter (1974) studied this question.
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