Displaced Femoral Neck Fracture: Long-term complications fewer with THA .
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Internal Fixation Compared with Total Hip Replacement for Displaced Femoral Neck Fractures: A Minimum Fifteen-Year Follow-up Study of a Previously Reported Randomized Trial
J Bone Joint Surg Am. 2014 Mar 19;96(6):e46. doi: 10.2106/JBJS.K.00244.143 patients with a displaced femoral neck fracture were randomized to treatment with either total hip arthroplasty (THA) or internal fixation; of these, 54 were mentally impaired and 89 were lucid elderly patients. Participants were followed-up over an extended time period to evaluate the long-term complication rates of each intervention. Results revealed that in the THA group, complication rates were lower compared to internal fixation, and occurred within the short-term. Additionally, the lowest failure rate was associated with THA patients whereas the highest was associated with internal fixation.
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