Arthroplasty Complications, Femoral Neck Fractures, Hip Fractures, Internal Fixation; Complications, Undisplaced Fracture
Conditions
Brief summary
Purpose The purpose of this study is to compare the clinical outcome and the rate of reoperations in a cohort of patients with undisplaced femoral neck fractures treated with internal fixation and patients with displaced femoral neck fractures treated with hip arthroplasty. Methods In a consecutive series of patients we compared the results of internal fixation for undisplaced femoral neck fractures with those of hip arthroplasty for displaced fractures (control group) of elderly patients. Risk of reoperation and patient reported hip function assessed with Harris hip score and WOMAC were used as outcome measurements.
Interventions
DEVICEInternal fixation or hip arthroplasty
Patients treated according to the routine at the orthopedic department with screw fixation of an undisplayed femoral neck fracture or hip arthroplasty for a displaced femoral neck fracture.
Sponsors
Sundsvall Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Inclusion criteria
Above 65 years old Displaced femoral neck fracture treated with hip arthroplasty Undisplaced femoral neck fracture treated with internal fixation
Exclusion criteria
* Pathologic fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reoperation | 4 years | Reapportions are recorded and compared between the groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Harris hip score | 1 year postoperatively | Patient reported outcome (0-100 points) for evaluation of hip function. |
| WOMAC | 1 year postoperatively | Patient reported outcome (0-96 points) for evaluation of hip function. |
| Pain in the operated hip | 1 year postoperatively | Estimated with pain numeric rating scale (PNRS). Grading 0-10. |
Outcome results
None listed