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December 1, 2008Techniques in Orthopaedics

Decision Making

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Key result

This review summarizes the available evidence and cost-effectiveness comparing open reduction and internal fixation versus arthroplasty for the treatment of femoral neck fractures.

Why the study?

Does open reduction and internal fixation compared to arthroplasty improve outcomes in patients with femoral neck fractures?

Population

Patients with femoral neck fractures, including active healthy elderly patients with displaced fractures…

Comparison

Open reduction and internal fixation vs Arthroplasty

Design

Review

Authors

BDBernadette G DijkmanRadboud University NijmegenDEDr. Bauke Kooistra, Orthopaedic Surgeon, Shoulder and ElbowUniversity of HKBP NommensenTFTania A. FergusonNashville Oncology Associates

Discussion

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Member takes

Overview

Evidence on fixation versus arthroplasty for femoral neck fractures remains inconclusive; leaves open optimal approach pending higher-level trials.

Structured PICO

Does open reduction and internal fixation compared to arthroplasty improve outcomes in patients with femoral neck fractures?

P
Population
Patients with femoral neck fractures, including active healthy elderly patients with displaced fractures, patients with undisplaced fractures, younger patients, and patients with cognitive impairments.
I
Intervention
Open reduction and internal fixation
C
Comparator
Arthroplasty

This review summarizes the evidence and cost-effectiveness of internal fixation versus arthroplasty for the treatment of femoral neck fractures across different patient populations.

Cite This Study

Dijkman et al. (2008) conducted a review in Femoral neck fractures. Open reduction and internal fixation vs. Arthroplasty was evaluated. This review summarizes the available evidence and cost-effectiveness comparing open reduction and internal fixation versus arthroplasty for the treatment of femoral neck fractures.

synapsesocial.com/papers/6a90380cc63bb9fb07dd7e59https://doi.org/10.1097/bto.0b013e318196fb53
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Treatment for displaced intracapsular fracture of the proximal femur2001 · 49 citations
  2. 2Consumption of hospital resources for femoral neck fracture1988 · 36 citations
  3. 3PREDICTION OF THE OUTCOME AFTER HIP FRACTURE IN ELDERLY PATIENTS1996 · 142 citations
  4. 4The total-contact cast for management of neuropathic plantar ulceration of the foot.1992 · 190 citations