title: Large diameter femoral head uncemented total hip replacement to treat fractured neck of femur.
abstract: The aim of this study was to investigate the use of large diameter head THR to treat fractured neck of femur, and to demonstrate if this conferred greater stability. Forty-six independent, mentally alert patients with displaced intracapsular fractures underwent THR. Mean age was 72.1 years. Outcome measures were dislocation, reoperation/revision rate, Oxford hip score (OHS), EuroQol (EQ-5D) and residential status. At mean follow-up (13.5 months) there were no dislocations. Reoperation, revision and infection rate were all 0%. Two patients died (4.3%). Mean pre-injury and postoperative OHS were 12.1 and 17.6, respectively. Mean pre-injury and postoperative EQ-5D index scores were 0.97 and 0.83, respectively. Mean postoperative walking distance was 2.5miles. There were no changes in residential status. This is the first published series using 36-mm diameter metal-on-metal THR for the treatment of fractured neck of femur. We have demonstrated that it affords patients excellent stability with no recorded dislocations.
authors.affiliation: Musgrove Park Hospital, Taunton and Somerset NHS Trust, Taunton, Somerset, United Kingdom. andybarnett60@hotmail.com
authors.forename: A J
authors.initials: AJ
authors.lastname: Barnett
authors.forename: B J
authors.initials: BJ
authors.lastname: Burston
authors.forename: N
authors.initials: N
authors.lastname: Atwal
authors.forename: G
authors.initials: G
authors.lastname: Gillespie
authors.forename: A M
authors.initials: AM
authors.lastname: Omari
authors.forename: B
authors.initials: B
authors.lastname: Squires
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005265:Femoral Neck Fractures / Q000503:physiopathology / Q000601:surgery*; D006305:Health Status Indicators; D006621:Hip Joint; D006622:Hip Prosthesis; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011788:Quality of Life; D012086:Reoperation; D016896:Treatment Outcome; D016138:Walking