Social function after cervical hip fracture. A comparison of hook-pins and total hip replacement in 47 patients.
47 patients with a cervical hip fracture Garden 3 or 4 and fully ambulatory before the fracture, were randomized to either fixation with Hansson hook-pins (24 patients, median age 79 years) or to a Charnley hip replacement (23 patients, median age 80 years). The patients were followed for 2 years. Social function was evaluated using a standard questionnaire. There were no postoperative deaths and no significant differences in hospital stay. 9/24 patients treated with hook-pins developed healing complications and 2 dislocations occurred in the THR group. After 1 and 2 years, fewer patients treated with hip replacement used outdoor walking aids; they were also more likely to do their own shopping. Hip replacement is a good choice when treating healthy older people with displaced cervical hip fractures, when primary mortality is expected to be low and the risk of healing complications after nailing is high.
Jónsson
B
B
Department of Orthopedics, Malmö University Hospital, Sweden.
Sernbo
I
I
Carlsson
A
A
Fredin
H
H
Johnell
O
O
D000203:Activities of Daily Living; D001858:Bone Nails; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000534:rehabilitation* / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D010865:Pilot Projects; D011446:Prospective Studies; D016896:Treatment Outcome