Internal fixation vs HA for femoral neck fractures in patients with cognitive impairment .
Internal fixation versus hemiarthroplasty for displaced fractures of the femoral neck in elderly patients with severe cognitive impairment
J Bone Joint Surg Br. 2005 Apr;87(4):523-9Sixty patients with an acute displaced fracture of the femoral neck were randomized to receive internal fixation (IF) with cannulated screws or hemiarthroplasty (HA) using an uncemented Austin Moore prosthesis. At final follow-up, the HA group had significantly lower health related quality of life scores than the internal fixation group. There was a trend toward a higher re-operation rate in the IF group than the HA Group, although the difference was not statistically significant. Also, the HA group had decreased mobility compared to the internal fixation group, but these differences were not significant. The two groups also did not differ when it came to complications, mortality, status of activities of daily living, and hip function.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
