AAOS2017: Similar long-term outcome with HA or THA in treatment of femoral neck fracture

Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
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Synopsis
252 elderly patients with a femoral neck fracture were randomized to treatment with either hemiarthroplasty or total hip arthroplasty. Patients were followed for 12 years postoperatively. Only 50 patients Please login to view the rest of this report. Please login to view the rest of this report.
Why was this study needed now?
Femoral neck fractures are a common injury sustained in the elderly population. More recently, arthroplasty has been employed in the primary treatment of these injuries. This study sought to evaluate the comparative efficacy between hemiarthroplasty and total hip arthroplasty in the primary treatment of femoral neck fractures.
What was the principal research question?
In the management of femoral neck fractures in elderly patients, is there any significant difference in clinical outcome, mortality, complication rate, or revision rate between hemiarthroplasty and total hip arthroplasty when assessed over 12-year follow-up?
Population: 252 patients with a femoral neck fracture. (Mean age: 81.1 years [70.2-95.6])
Intervention: Hemiarthroplasty (HA): Patients underwent cemented hemiarthroplasty. (n=137 randomized; 32 available at 12-year follow-up)
Comparison: Total hip arthroplasty; (THA): Patients underwent cemented total hip arthroplasty/ (n=115 randomized; 18 available at 12-year follow-up)
Outcomes: Outcome measures included the modified Harris Hip Score (HHS), mortality rate, the incidence of complications and the incidence of revision.
Methods: RCT
Time: Follow-up at 12 years
What were the important findings?
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The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.