title: The results of total hip arthroplasty for fractured neck of femur in octogenarians.
abstract: The role of total hip arthroplasty (THA) for fracture in octogenarians remains unclear. Over a two-year period, 354 patients aged > 80 years were admitted with a displaced intracapsular hip fracture. Using defined clinical guidelines, 38 patients underwent THA with a median age of 84 years, mean follow-up of 20 months. Primary outcomes were dislocation, 30-day and one-year mortality, revision surgery and periprosthetic fracture. There were no dislocations or periprosthetic fractures and patient survival was 97% at 30 days and 87% at one year. There was one revision for deep infection. This study demonstrates that THA for selected octogenarians can be performed safely, allows the majority of patients to return to independent living and has a low complication rate.
authors: Brighton and Sussex University Hospitals, Brighton, Sussex.
authors: Will K M
authors: WK
authors: Kieffer
authors: Brighton and Sussex University Hospitals, Brighton, Sussex.
authors: Edward J C
authors: EJ
authors: Dawe
authors: Brighton and Sussex University Hospitals, Brighton, Sussex.
authors: Edward A O
authors: EA
authors: Lindisfarne
authors: Brighton and Sussex University Hospitals, Brighton, Sussex.
authors: Benedict A
authors: BA
authors: Rogers
authors: Brighton and Sussex University Hospitals, Brighton, Sussex.
authors: Stephen
authors: S
authors: Nicol
authors: Brighton and Sussex University Hospitals, Brighton, Sussex.
authors: Philip M
authors: PM
authors: Stott
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: elderly; fracture; hip; neck of femur; total hip arthroplasty; trauma