title: Medium-term patient-reported outcomes after total hip replacement for displaced hip fractures.
abstract: BACKGROUND
  The aim of the present study was to define the medium-term outcomes following total hip replacement (THR) for hip fracture.
  
  
  METHODS
  We prospectively followed up 92 patients who underwent THR for a displaced hip fracture over a 3-year period between 2007 and 2010. These patients were followed up at 5 years using the Oxford Hip Score, Short-Form 12 (SF-12) questionnaire and satisfaction questionnaire. These outcomes were compared to the short-term outcomes previously reported at 2 years to determine any significant differences.
  
  
  RESULTS
  Mean follow-up was at 5.4 years with a mean age at follow-up of 76.5 years. Seventy-four patients (80%) responded. Patients reported excellent functional outcomes and satisfaction (mean Oxford Hip Score 40.3; SF-12 Physical Health Composite Score 44.0; SF-12 Mental Health Composite Score 46.2; mean satisfaction 90%). The rates of dislocation (2%), deep infection (2%) and revision (3%) were comparable to those quoted for elective THR. When compared with 2-year follow-up, there were no statistically significant adverse changes in outcome parameters.
  
  
  CONCLUSIONS
  Medium-term outcomes for THR after hip fracture in fit older patients are excellent, and these results demonstrate that the early proven benefits of this surgery are sustained into the midterm.
authors.affiliation: Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, Scotland, UK. scottmiddleton@doctors.org.uk.
authors.forename: Scott D
authors.identifier: http://orcid.org/0000-0002-2808-4459
authors.initials: SD
authors.lastname: Middleton
authors.affiliation: Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, Scotland, UK.
authors.forename: Neil
authors.initials: N
authors.lastname: McNiven
authors.affiliation: Imperial College Healthcare Trust, St Mary's Hospital, Praed Street, Paddington, London, W2 1NY, UK.
authors.forename: Raymond E
authors.initials: RE
authors.lastname: Anakwe
authors.affiliation: Orthopaedic Unit, Glasgow Royal Infirmary, 84 Castle St, Glasgow, G4 0ET, UK.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Jenkins
authors.affiliation: Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, Scotland, UK.
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Aitken
authors.affiliation: Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, Scotland, UK.
authors.forename: John F
authors.initials: JF
authors.lastname: Keating
authors.affiliation: Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, Scotland, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Moran
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006617:Hip Dislocation / Q000523:psychology / Q000601:surgery*; D006620:Hip Fractures / Q000523:psychology / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction; D011446:Prospective Studies; D016459:Prosthesis-Related Infections / Q000209:etiology; D012086:Reoperation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Hip; THA; THR; Total hip arthroplasty; Total hip replacement; Trauma hips