What does this research mean for the field?

Total hip arthroplasty (THA) is associated with lower mortality in sicker patients (ASA III-IV) and better functional outcomes in healthier patients (ASA I-II) compared to hemiarthroplasty or internal fixation for displaced femoral neck fractures in patients aged 60-69 years. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To compare 1-year mortality and short-term functional outcomes among patients aged 60–69 years with displaced femoral neck fractures treated with total hip arthroplasty, hemiarthroplasty, or internal fixation.

September 6, 2026Acta OrthopaedicaOpen Access

Association of treatment method with mortality and functional outcome in patients with displaced femoral neck fracture: a cohort study of 60–69-year-old patients from the Swedish Hip Fracture Register

View Full Paper

Ask AI

Bookmark

Authors

PCPierre CampenfeldtSwedish Armed Forces MHMargareta HedströmKarolinska University Hospital OOOlle OlofssonUppsala University

Discussion

Member takes

Implication

Cohort study reveals total hip arthroplasty improves survival and functional recovery in patients aged 60–69 with hip fractures, indicating benefits over hemiarthroplasty or fixation.

Key Points

To compare 1-year mortality and short-term functional outcomes among patients aged 60–69 years with displaced femoral neck fractures treated with total hip arthroplasty, hemiarthroplasty, or internal fixation.
Nationwide cohort study evaluating 3,325 patients aged 60–69 years with displaced femoral neck fractures documented in the Swedish Hip Fracture Register.
Outcomes assessed included 1-year mortality and 4-month functional outcomes (independent living and outdoor walking capacity), stratified by American Society of Anesthesiologists (ASA) class (I–II vs III–IV).
Overall 1-year mortality was 8.3%, with significantly higher adjusted mortality following hemiarthroplasty (OR 2.5, 95% CI 1.7–3.6) and internal fixation (OR 2.3, 95% CI 1.6–3.3) compared with total hip arthroplasty, driven primarily by lower survival in ASA III–IV patients.
Total hip arthroplasty was associated with higher odds of maintaining independent living (internal fixation: OR 0.40, 95% CI 0.20–0.86; hemiarthroplasty: OR 0.09, 95% CI 0.04–0.17) and outdoor walking ability (internal fixation: OR 0.35, 95% CI 0.24–0.50; hemiarthroplasty: OR 0.26, 95% CI 0.16–0.43) in ASA I–II patients.

Cite This Study

Campenfeldt et al. (2026) studied this question.

synapsesocial.com/papers/6a9d1df228139818eab20abe https://doi.org/10.2340/17453674.2026.46368

View Full Paper

Ask AI

Bookmark

Implication

Cohort study reveals total hip arthroplasty improves survival and functional recovery in patients aged 60–69 with hip fractures, indicating benefits over hemiarthroplasty or fixation.

Association of treatment method with mortality and functional outcome in patients with displaced femoral neck fracture: a cohort study of 60–69-year-old patients from the Swedish Hip Fracture Register

Discussion

Member takes

Implication

Key Points

Cite This Study

Association of treatment method with mortality and functional outcome in patients with displaced femoral neck fracture: a cohort study of 60–69-year-old patients from the Swedish Hip Fracture Register

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider