Treatment of displaced subcapital femoral fractures with total hip replacement.
A series of 46 patients with 46 displaced subcapital femoral fractures were treated with total hip replacements. Indications for treatment were age between 65 and 79 years, a mental test score of greater than 7/13 and mobility sufficient to allow the patient to leave the house at least once a week. The main complication was dislocation (9 per cent), which tended to occur early, and was associated with inexperience of the surgeon. The 6-month mortality was 9 per cent. The mean Harris score of 33 patients reviewed at 3 years was 83. Preoperative mobility was well maintained and there was no evidence of deep sepsis or loosening. We recommend that this method of treatment should be studied further in a prospective comparative fashion.
Gregory
R J
RJ
University Department of Orthopaedic Surgery, Newcastle upon Tyne, UK.
Wood
D J
DJ
Stevens
J
J
D000368:Aged; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D025981:Hip Injuries; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology; D008297:Male; D011183:Postoperative Complications; D011446:Prospective Studies