title: [Cementless total hip arthroplasty after acute femoral neck fracture in active patients. Prospective matched study with a minimum follow-up of 5 years].
abstract: OBJECTIVE
  To evaluate outcomes of cementless total hip replacement after acute femoral neck fracture in active patients.
  
  
  METHODS
  A prospective matched study was conducted to compare the results between 76 patients with fractures and 76 patients with osteoarthritis. The Harris score, short-WOMAC and SF-12 were used for the clinical assessment. The mean follow-up was 7.3 years (range 5-11).
  
  
  RESULTS
  There were no significant differences in medical or surgical complications between the 2 groups. Functional outcomes were similar, but more walking aids were used in fracture group. There were 6 revisions among the fractures group (one dislocation, 2 deep infections, 3 aseptic loosening), and 2 aseptic loosening among controls. There was no significant difference in arthroplasty survival at 10 years (88.7 vs. 96.1%, P=.15). The mortality rates at 2 and 10 years were similar.
  
  
  CONCLUSIONS
  Cementless total hip replacement for treatment of acute femoral neck fracture showed similar results to those of elective surgery for osteoarthritis in these selected patients.
authors.affiliation: Servicio de Cirugía Ortopédica, Hospital Universitario de Elda, Elda, Alicante, España. Electronic address: lizaur1@telefonica.net.
authors.forename: A
authors.initials: A
authors.lastname: Lizaur-Utrilla
authors.affiliation: Servicio de Cirugía Ortopédica, Hospital Universitario de Elda, Elda, Alicante, España.
authors.forename: J
authors.initials: J
authors.lastname: Sanz-Reig
authors.affiliation: Servicio de Cirugía Ortopédica, Hospital Universitario de Elda, Elda, Alicante, España.
authors.forename: F A
authors.initials: FA
authors.lastname: Miralles-Muñoz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D001843:Bone Cements; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000601:surgery; D011446:Prospective Studies; D011474:Prosthesis Design; D013997:Time Factors
chemical_list: D001843:Bone Cements
keywords: Ancianos; Artroplastia total de cadera no cementada; Cementless total hip replacement; Elderly; Femoral neck fracture; Fractura cervical femoral; Fractura de cadera; Hip fracture