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November 1, 2002Journal of Bone and Joint Surgery - British Volume

There was no statistically significant difference in mortality between the groups at one year (61/226 versus 63/229, p = 0.91), but the internal fixation group required significantly more additional surgical procedures (111 in 90 patients vs 15 in 12 patients).

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Why the study?

Does hemiarthroplasty improve outcomes compared to internal fixation in patients aged over 70 years with a displaced intracapsular fracture of the proximal femur?

Population

455 patients aged over 70 years with a displaced intracapsular fracture of the proximal femur

Comparison

Hemiarthroplasty vs Internal fixation

Design

RCT, randomised

Follow-up

up to 3 years

Authors

MPMartyn J. ParkerRKRiaz J.K. KhanJCJoanne Crawford

Discussion

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Overview

Hemiarthroplasty yields similar one-year mortality with fewer reoperations than internal fixation; reinforces guideline preference in elderly displaced femoral neck fractures.

Structured PICO

Does hemiarthroplasty improve outcomes compared to internal fixation in patients aged over 70 years with a displaced intracapsular fracture of the proximal femur?

P
Population
455 patients aged over 70 years with a displaced intracapsular fracture of the proximal femur
I
Intervention
Hemiarthroplasty
C
Comparator
Internal fixation
O
Outcome
Mortality at one yearhard clinical

Hemiarthroplasty is generally recommended over internal fixation for displaced intracapsular hip fractures in the elderly due to a lower need for additional surgical procedures, despite similar mortality and functional outcomes.

Cite This Study

Parker et al. (2002) studied this question.

synapsesocial.com/papers/6a721a9e2163a0a01bc5ef73https://doi.org/10.1302/0301-620x.84b8.0841150
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