title: Treatment of displaced neck fractures of the femur with total hip arthroplasty.
abstract: We report our experience in unstable fractures of the femoral neck in a consecutive series of patients who underwent total hip arthroplasty. Over a period of 12 years, 88 patients were treated with a cemented total hip arthroplasty; 3 patients were lost to follow-up, leaving 86 fractures (85 patients) for retrospective analysis. Seven patients had dislocations, all but 1 of which were treated successfully without reoperation. Four patients required reoperation in the same hip undergoing arthroplasty. There was a graded increase in mortality rates across the continuum of risk groups at the time of surgery. The low incidence (4.6%) of a second procedure on the hip repaired initially, as well as low mortality rates, makes this treatment strategy quite satisfactory.
authors.affiliation: Teaching and Research Institute, Sírio Libanês Hospital, São Paulo, Brazil.
authors.forename: Sergio
authors.initials: S
authors.lastname: Rudelli
authors.forename: Sergio P
authors.initials: SP
authors.lastname: Viriato
authors.forename: Tadeu L O
authors.initials: TL
authors.lastname: Meireles
authors.forename: Tiago N
authors.initials: TN
authors.lastname: Frederico
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods* / Q000401:mortality; D001843:Bone Cements; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D015994:Incidence; D004204:Joint Dislocations / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011859:Radiography; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements