title: Intracapsular hip fractures in patients with rheumatoid arthritis.
abstract: We reviewed the treatment of 43 patients with rheumatoid arthritis and femoral neck fracture. Patients' average age was 66.4 (36-80) years and average duration of RA was 20.3 (4-42) years. Thirteen patients were treated with primary total hip arthroplasty (THA), and the clinical results were comparable to patients treated conservatively or by osteosynthesis. Eighteen patients were treated with primary bipolar hip prosthesis and after an average of 6.1 (1-13) years there was no acetabular destruction. However, long-term results were inferior to patients treated with THA. Nine patients were treated with osteosynthesis, of which two later had a hip prosthesis. Three cases with impacted fractures were treated conservatively with successful union in all.
authors.affiliation: Department of Orthopedics, School of Medicine, University of Tokushima, Japan.
authors.forename: Mohamed Yehya
authors.initials: MY
authors.lastname: Hasan
authors.forename: Fumio
authors.initials: F
authors.lastname: Shinomiya
authors.forename: Masahiko
authors.initials: M
authors.lastname: Okada
authors.forename: Yosiaki
authors.initials: Y
authors.lastname: Hamada
authors.forename: Takuya
authors.initials: T
authors.lastname: Fijimura
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hamada
authors.forename: Shunji
authors.initials: S
authors.lastname: Nakano
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Egawa
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Elhawari
authors.forename: Natsuo
authors.initials: N
authors.lastname: Yasui
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000150:complications*; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications* / Q000601:surgery* / Q000628:therapy; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome