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Internal fixation vs HA for femoral neck fractures in patients with cognitive impairment
April 2014
Internal fixation vs HA for femoral neck fractures in patients with cognitive impairment
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A
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):523-9Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Sixty 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 I...
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