Treatment of femoral neck fractures by hemiarthroplasty.
Seventy-five patients with a displaced unstable fracture of the femoral neck were reviewed to evaluate treatment by cemented hemiarthroplasty through a posterior approach. Twenty-three patients were available for follow-up. The mean duration of follow-up was 46.7 months. Twenty-one patients (91%) showed a good clinical result. Sixteen patients (69%) had maintained their preoperative mobility or had deteriorated slightly. Major complications were divided as follows: mortality: six patients (6/75, 8%); early deep infection (3/23.4%) and dislocation (5/23, 7%). In four patients (4/23, 5%) a revision operation was required. Radiological evaluation showed possible loosening in one patient. Protrusion was not observed.
Department of Surgery, Streekziekenhuis Almelo, The Netherlands.
D B
DB
van der Schaaf
H
H
Steffelaar
D000368:Aged; D000369:Aged, 80 and over; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011475:Prosthesis Failure; D012086:Reoperation; D013530:Surgical Wound Infection / Q000209:etiology