title: Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery.
abstract: BACKGROUND
  This paper describes, for the first time, the outcomes of patients undergoing total hip replacement for acute fractured neck of femur (#NOF) as recorded by the National Joint Registry of England and Wales (NJR).
  
  
  METHODS
  In the NJR we identified 1,302 of 157,232 Hospital  Episode Statistics linked patients who had been recorded as having a total hip replacement for acute #NOF between April 2003 and November 2008.
  
  
  RESULTS
  The revision rate at five years for fully uncemented components was 4.1% (95% confidence interval [CI]: 2.2-7.3%), for hybrid it  was 2.2% (95% CI: 0.9%-5.3%) and for fully cemented components 0.9% (95% CI: 0.4-2.0%). Five-year revision rates were increased for those whose operations were performed via a posterior versus a lateral approach. The Kaplan-Meier estimate of 30-day mortality was 1.4% (95%  CI: 1.0-2.4%), which is over double the 30-day mortality rate for total hip replacement identified by the Office for National Statistics. The mean length of stay was also increased for those undergoing total hip replacements for #NOF compared with non-emergency indications.
  
  
  CONCLUSIONS
  Our data suggest that total hip replacements for acute #NOF give comparable results with total hip replacements for other indications.
authors.affiliation: Clinical Effectiveness Unit, The Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK. gstafford@doctors.org.uk
authors.forename: G H
authors.initials: GH
authors.lastname: Stafford
authors.forename: S C
authors.initials: SC
authors.lastname: Charman
authors.forename: M J
authors.initials: MJ
authors.lastname: Borroff
authors.forename: C
authors.initials: C
authors.lastname: Newell
authors.forename: J K
authors.initials: JK
authors.lastname: Tucker
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000401:mortality / Q000706:statistics & numerical data*; D015897:Comorbidity; D004739:England / Q000453:epidemiology; D005260:Female; D005265:Femoral Neck Fractures / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D006622:Hip Prosthesis / Q000706:statistics & numerical data; D006801:Humans; D053208:Kaplan-Meier Estimate; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design / Q000401:mortality / Q000706:statistics & numerical data; D012042:Registries; D012086:Reoperation / Q000401:mortality / Q000706:statistics & numerical data; D014852:Wales / Q000453:epidemiology