Total hip arthroplasty after acute displaced femoral neck fractures.
Displaced femoral neck fractures have three treatment options; reduction and fixation, hemiarthroplasty, and total hip arthroplasty. Total hip arthroplasty is often avoided; this is commonly owing to its assumed increased risk of dislocation. A careful and critical review of the literature reveals that it does offer certain advantages in selected patients. If acute dislocations (less than 4 months) are prevented, the dislocation rates after a fracture appear to be the same, regardless of whether a hemiarthroplasty or total hip arthroplasty is used.
Papandrea
R F
RF
Department of Orthopaedic Surgery, Mt. Sinai Medical Center, Cleveland, Ohio, USA.
Froimson
M I
MI
D003365:Costs and Cost Analysis; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery*; D006617:Hip Dislocation / Q000150:complications / Q000601:surgery*; D006622:Hip Prosthesis / Q000191:economics; D006801:Humans