title: What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty? A comparison of hip fracture outcomes in the very elderly population.
abstract: METHODS
  A retrospective comparative study was performed at a level 1 trauma center at which electronic medical records and digital radiographs were reviewed for 949 femoral neck fractures. For the primary outcome of reoperation based on age, Kaplan-Meier models were built and analysis applied.
  
  
  RESULTS
  A total of 334 fractures were nondisplaced treated with closed reduction and percutaneous pinning (CRPP), and 615 were displaced managed with hemiarthroplasty (HA). Overall, 98 patients (10.33%) required reoperation. Increasing reoperation rates for CRPP was seen with each subsequent age group. The opposite was seen with HA in which increasing age groups showed lower reoperation rates.
authors.affiliation: Baylor Scott & White Health, Temple, TX 76508, United States.
authors.forename: Joshua
authors.initials: J
authors.lastname: Griffin
authors.affiliation: Baylor Scott & White Health, Temple, TX 76508, United States.
authors.forename: Travis L
authors.initials: TL
authors.lastname: Anthony
authors.affiliation: Baylor Scott & White Health, Temple, TX 76508, United States.
authors.forename: Donavan K
authors.initials: DK
authors.lastname: Murphy
authors.affiliation: Baylor Scott & White Health, Temple, TX 76508, United States.
authors.forename: Kindyle L
authors.initials: KL
authors.lastname: Brennan
authors.affiliation: Baylor Scott & White Health, Temple, TX 76508, United States.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Brennan
keywords: AVN, avascular necrosis; CRPP, closed reduction and percutaneous pinning; FNF, femoral neck fractures; Femoral neck fractures; HA, hemiarthroplasty; Hemiarthroplasty; Internal fixations; THA, additional treatment options