Why the study?
Does total hip arthroplasty improve pain, walking, function scores, and revision rates compared to hemiarthroplasty in elderly patients with acute displaced femoral neck fractures?
Population
166 elderly patients with acute, nonpathologic displaced femoral neck fractures
Comparison
Total hip arthroplasty (THA) (all cemented) vs Unipolar hemiarthroplasty (cemented or uncemented)
Design
Cohort
Follow-up
average 56 months
Authors
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May support THA preference for better function and fewer revisions in active elderly patients; leaves open randomized confirmation before practice change.
Does total hip arthroplasty improve pain, walking, function scores, and revision rates compared to hemiarthroplasty in elderly patients with acute displaced femoral neck fractures?
Total hip arthroplasty provides better long-term functional outcomes and lower revision rates than hemiarthroplasty in healthy, active elderly patients with displaced femoral neck fractures.
Gebhard et al. (1992) studied this question.
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