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February 1, 2007Journal of Bone and Joint Surgery - British Volume

A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients

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Why the study?

Does total hip replacement improve hip function and quality of life compared to bipolar hemiarthroplasty in elderly patients with displaced intracapsular fractures of the femoral neck?

Population

120 elderly patients with an acute displaced intracapsular fracture of the femoral neck, mean age 81 years

Comparison

Total hip replacement vs Bipolar hemiarthroplasty

Design

RCT, Randomly allocated

Follow-up

12 months

Authors

RBRichard BlomfeldtKarolinska InstitutetHTHans TörnkvistStockholm South General HospitalKEKarl ErikssonKarolinska University Hospital

Discussion

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Implication

Supports total hip replacement over bipolar hemiarthroplasty for superior hip function in elderly displaced femoral neck fractures; extends RCT evidence without added complications.

Structured PICO

Does total hip replacement improve hip function and quality of life compared to bipolar hemiarthroplasty in elderly patients with displaced intracapsular fractures of the femoral neck?

P
Population
120 elderly patients with an acute displaced intracapsular fracture of the femoral neck, mean age 81 years (range 70 to 90)
I
Intervention
Total hip replacement
C
Comparator
Bipolar hemiarthroplasty
O
Outcome
Hip function (measured by Harris hip score) and health-related quality of lifepatient reported

Total hip replacement provides better hip function than bipolar hemiarthroplasty at one year post-operatively in elderly patients with displaced intracapsular femoral neck fractures, without increasing complication rates.

Cite This Study

Blomfeldt et al. (2007) studied this question.

synapsesocial.com/papers/6a722b486c240de38cdc52d8https://doi.org/10.1302/0301-620x.89b2.18576
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly2003 · 319 citations
  2. 2Hemiarthroplasty <i>versus</i> internal fixation for displaced intracapsular hip fractures in the elderly2002 · 86 citations
  3. 3A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur2002 · 103 citations
  4. 4Radiological Demarcation of Cemented Sockets in Total Hip Replacement1976 · 1,566 citations
  5. 5Displaced Femoral Neck Fractures in the Elderly2001 · 192 citations