Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients.

@article{Leonardsson2009OutcomeAP,
  title={Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients.},
  author={Olof Leonardsson and Cecilia Rogmark and Johan K{\"a}rrholm and Kristina E. Akesson and G{\"o}ran Garellick},
  journal={The Journal of bone and joint surgery. British volume},
  year={2009},
  volume={91 5},
  pages={
          595-600
        }
}
Between 1999 and 2005, 10 264 patients who had undergone total hip replacement (THR) for subcapital fracture of the hip were compared with 76 520 in whom THR had been performed for other reasons. All the cases were identified through the Swedish Hip Arthroplasty Register. The THRs performed as primary treatment for fracture were also compared with those done after failure of internal fixation. After seven years the rate of revision was higher in THR after fracture (4.4% vs 2.9%). Dislocation… 
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Mid-Term Outcome of Total Hip Replacement Using the Posterior Approach for Displaced Femoral Neck Fractures
  • A. Low, A. Gursel
  • Medicine
    Hip international : the journal of clinical and experimental research on hip pathology and therapy
  • 2012
TLDR
This study is a single surgeon series of 45 consecutive active, healthy patients with displaced femoral neck fractures treated with THR through a posterior approach, finding good VAS pain, OHS and SF-12 scores were reported both at 2 and 6 years.
Revision rates after surgical treatment for femoral neck fractures: results of 2-year follow-up.
TLDR
Higher revision surgery rates after internal fixation favors arthroplasty as a primary choice of treatment for the femoral neck fractures.
Total hip arthroplasty after failed internal fixation of proximal femoral fractures.
Outcome of proximal femur replacement in failed internal fixation of hip fractures, a case series
Total hip replacement in patients with hip fracture: A matched cohort study
TLDR
For selected patients, THR undertaken for displaced fractures of the hip produces outcomes that are at least equivalent to those achieved after elective operation.
Treatment of displaced neck fractures of the femur with total hip arthroplasty.
A clinical study on arthroplasty for failed internal fixation of hip fractures and review of literature
TLDR
Arthroplasty may serve as a suitable salvage technique for FIFHF, and long-stem prosthesis replacement is proved to obtain reliable curative effect, especially in FIFIF.
Fixation of intracapsular fractures of the femoral neck in young patients: risk factors for failure.
TLDR
Young patients with fractures of the femoral neck should be carefully evaluated for comorbidities that increase the risk of failure after reduction and fixation, and in patients with a history of alcohol abuse, renal or respiratory disease, arthroplasty should be considered as an alternative treatment.
Retentive Cup Arthroplasty in Selected Hip Fracture Patients—A Prospective Series With a Minimum 3-Year Follow-Up
TLDR
Semielective total hip arthroplasty using a retentive cup liner appears to offer good functional results with a low dislocation rate in patients with poor muscular control, and constrained prosthesis is a suitable treatment for patients withpoor muscular control having subcapital fractures.
Hip arthroplasty for the treatment of displaced fractures of the femoral neck in elderly patients.
TLDR
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.
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References

SHOWING 1-10 OF 19 REFERENCES
Secondary arthroplasty for complications of femoral neck fracture.
TLDR
It is concluded that elective secondary hip arthroplasty for failure of fracture fixation is a safe and successful procedure and should be done without delay to avoid deterioration of function.
Primary total hip replacement for displaced subcapital fracture of the femur.
TLDR
Harris hip scores were calculated and correlated well with the results of gait analysis; these suggested that it was the more vigorous patients that were more liable to early failure in primary total hip replacement.
Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly. A randomised, controlled trial.
TLDR
The results of this study strongly suggest that THR provides a better outcome than IF for elderly, relatively healthy, lucid patients with a displaced fracture of the femoral neck.
Displaced femoral neck fracture: comparison of primary total hip replacement with secondary replacement after failed internal fixation: A 2-year follow-up of 84 patients
TLDR
It is found that a secondary THR after failed IF results in inferior hip function compared to a primary THR for a displaced femoral neck fracture in the active and lucid elderly patient.
Internal fixation versus total hip arthroplasty in the treatment of displaced femoral neck fractures: A prospective randomized study of 100 hips
TLDR
It is concluded that total hip arthroplasty should be considered for a displaced femoral neck fracture in old patients with normal mental function and high functional demands.
Total hip replacement after femoral neck fractures in elderly patients : Results of 8,577 fractures reported to the Norwegian Arthroplasty Register
TLDR
THA in fracture patients showed good results, but there was an increased risk of early dislocations and periprosthetic fractures compared to OA patients.
A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur. Functional outcome for 450 patients at two years.
TLDR
With a high rate of failure and poor functional outcome after IF, it is recommended primary arthroplasty for displaced fractures of the neck of the femur in patients over 70 years of age.
Internal fixation versus hemiarthroplasty versus total hip arthroplasty for displaced subcapital fractures of femur--13 year results of a prospective randomised study.
Treatment of Displaced Intracapsular Hip Fractures with Total Hip Arthroplasty: Comparison of Primary Arthroplasty with Early Salvage Arthroplasty After Failed Internal Fixation
TLDR
Reduction and internal fixation will continue to be used as the primary treatment of displaced intracapsular fractures in many younger patients because of the benefits of preservation of the normal hip joint, but patients should be counseled that if this method of treatment is unsuccessful and requires revision to a total hip arthroplasty with cement, the risk of early complications is higher and hip function may be poorer than if the arthroPLasty had been performed as a primary procedure.
Social function after cervical hip fracture. A comparison of hook-pins and total hip replacement in 47 patients.
TLDR
Hip replacement is a good choice when treating healthy older people with displaced cervical hip fractures, when primary mortality is expected to be low and the risk of healing complications after nailing is high.
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