What question did this study set out to answer?

To evaluate long-term clinical and functional outcomes, failure rates, and patient-reported outcome measures in patients aged 60 years or younger undergoing surgical fixation of intracapsular hip fractures.

December 23, 2024Journal of Bone and Joint SurgeryOpen Access

Outcomes for Younger Patients with Femoral Neck Fractures

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Authors

BWBoris WagnerUniversity of Bergen WOWilliam M. OliverWentworth Douglass Hospital KBKatrina R. BellEdinburgh Royal Infirmary

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Implication

Retrospective cohort study reveals a 23% failure rate after intracapsular hip fracture fixation in young adults, indicating substantial long-term functional impairment when complications occur.

Key Points

To evaluate long-term clinical and functional outcomes, failure rates, and patient-reported outcome measures in patients aged 60 years or younger undergoing surgical fixation of intracapsular hip fractures.
Retrospective review of 112 consecutive patients aged ≤60 years (mean age, 48 years; 54% male) who underwent fixation for displaced (n=81) or nondisplaced/minimally displaced (n=31) intracapsular hip fractures between 2008 and 2018.
Assessed failure (loss of fixation, nonunion, or osteonecrosis) and long-term PROMs (Oxford Hip Score, Forgotten Joint Score, EQ-5D, EQ-VAS, and UCLA Activity Scale) in 81 patients at a mean follow-up of 7 years (range, 2.8 to 12.8 years).
Treatment failure occurred in 26 patients (23%), including osteonecrosis in 16 (14.3%), loss of fixation in 6 (5.4%), and nonunion in 5 (4.5%), with 39 patients (35%) requiring secondary surgery such as total hip arthroplasty (18.8%) or hardware removal (18.8%).
Overall UCLA activity scores decreased from a preinjury mean of 6.8 to 6.0 postinjury (p < 0.001); patients with complications had significantly worse median Oxford Hip Scores (44.5 vs. 47, p = 0.008), EQ-5D index (0.825 vs. 1.00, p = 0.001), EQ-VAS (70 vs. 90, p = 0.01), and UCLA scores (4.5 vs. 6.5, p = 0.001) compared to those achieving primary union.

Cite This Study

Wagner et al. (2024) studied this question.

synapsesocial.com/papers/6a707828b5c1fe5ca9dfb821 https://doi.org/10.2106/jbjs.23.00582

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Implication

Retrospective cohort study reveals a 23% failure rate after intracapsular hip fracture fixation in young adults, indicating substantial long-term functional impairment when complications occur.

Outcomes for Younger Patients with Femoral Neck Fractures

Discussion

Member takes

Implication

Key Points

Cite This Study

Outcomes for Younger Patients with Femoral Neck Fractures

Discussion

Member takes

Implication

Key Points

Cite This Study

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