Clinical Outcomes of Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Patients 80 Years of Age and Older Selected by Clinical Frailty Score

@article{Jo2020ClinicalOO,
  title={Clinical Outcomes of Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Patients 80 Years of Age and Older Selected by Clinical Frailty Score},
  author={Suenghwan Jo and Se Hwan Lee and Sun-jung Yoon},
  journal={Hip \& Pelvis},
  year={2020},
  volume={32},
  pages={148 - 155},
  url={https://api.semanticscholar.org/CorpusID:221759467}
}
The use of THA in patients ≥80 years of age with low CFS scores (<5) described here yielded favorable results and a relatively low rate of complications, but a well-controlled comparative study or randomized trial is required to further refine selection criteria for THA.
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35 References

Safety of total hip arthroplasty for femoral neck fractures using the direct anterior approach: a retrospective observational study in 86 elderly patients

Although the direct anterior approach in geriatric trauma patients is associated with a rather long learning curve, it is found to preserve the soft-tissues with no injury to abductors and shows an early advantage in elderly patients in terms of early recovery and therefore early possible full weight-bearing.

Comparison of Minimally Invasive Total Hip Arthroplasty versus Conventional Hemiarthroplasty for Displaced Femoral Neck Fractures in Active Elderly Patients

The short-term follow-up results were better for minimally invasive two-incision THA than for conventional BHA for the treatment of acute displaced femoral neck fractures in active elderly patients.

Total Hip Arthroplasty is Less Painful at 12 Months Compared with Hemiarthroplasty in Treatment of Displaced Femoral Neck Fracture

Differences in pain and functional outcomes suggest THA is a viable treatment option for the active elderly displaced femoral neck fracture population.

Primary total hip arthroplasty versus internal fixation in displaced fracture of femoral neck in sexa- and septuagenarians

Primary total hip arthroplasty compared with internal fixation appears to be a reasonably safe method of treating displaced fracture of femoral neck in elderly patients and an increased risk for intracapsular hip fracture developing nonunion with older age is shown.

Hip arthroplasty for the treatment of displaced fractures of the femoral neck in elderly patients.

This review summarises the evidence for the treatment of displaced fractures of the femoral neck in elderly patients and suggests that total hip arthroplasty (THA) may be particularly advantageous for active, lucid patients with a relatively long life expectancy and unipolar implants are considered to be sufficient.

Dislocation of total hip replacement in patients with fractures of the femoral neck

In order to minimize the risk of dislocation, the use of the anterolateral approach for total hip replacement in patients with femoral neck fractures is recommended.

Total hip arthroplasty and hemiarthroplasty in mobile, independent patients with a displaced intracapsular fracture of the femoral neck. A randomized, controlled trial.

Total hip arthroplasty conferred superior short-term clinical results and fewer complications when compared with hemiarthroplasty in this prospectively randomized study of mobile, independent patients who had sustained a displaced fracture of the femoral neck.

A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients.

It is indicated that a total hip replacement provides better function than a bipolar hemiarthroplasty as soon as one year post-operatively, without increasing the complication rate.

Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures: a concise four-year follow-up of a randomized trial.

A four-year follow-up of a randomized controlled trial involving 120 elderly patients with an acute displaced femoral neck fracture confirms the better results in terms of hip function and quality of life after total hip arthroplasty as compared with hemiarthroplasty in elderly, lucid patients with a displaced fracture of the Femoral neck.

A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck: a randomised controlled multicentre trial in patients aged 70 years and over.

Because of a higher intra-operative blood loss, an increased duration of the operation and a higher number of early and late dislocations, THR is not recommended as the treatment of choice in patients aged ≥ 70 years with a fracture of the femoral neck in the absence of advanced radiological osteoarthritis or rheumatoid arthritis of the hip.