Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly Has a Low Conversion Rate

2017 ◽  
Vol 32 (1) ◽  
pp. 150-154 ◽  
Author(s):  
Matthew J. Grosso ◽  
Jonathan R. Danoff ◽  
Taylor S. Murtaugh ◽  
David P. Trofa ◽  
Andrew N. Sawires ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Conversion Rate ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Displaced Femoral Neck Fractures

216 Fix or Replace: Is Internal Fixation Still A Viable Option in The Elderly with Un-Displaced Intracapsular Femoral Neck Fractures?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Morris ◽  
A Krishna ◽  
H Hamid ◽  
M Chawda ◽  
H Mumtaz
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Revision Surgery ◽  
Retrospective Review ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Type I ◽  
Cannulated Screws ◽  
Viable Option ◽  
Displaced Femoral Neck Fractures

Abstract Aim The treatment of impacted or un-displaced femoral neck fractures in the elderly osteoporotic patient is still largely debated, with arthroplasty versus internal fixation two surgical options1. Our aim was to retrospectively review patients over the age of 80 with un-displaced intracapsular hip fractures who had undergone internal fixation and assess their rate of mortality and revision surgery. Method We conducted a retrospective review of all patients with femoral neck fractures over a 4-year period between January 2015 to December 2018. We refined this to only patients over the age of 80 with un-displaced intracapsular femoral neck fractures fixed with cannulated screws. We noted their mental and mobility status, their follow-up attendance over 3 years, their mortality and rate of revision surgery. Results There were a total of 1232 femoral neck fractures in a 4-year period. Of these, 37 were >80 with un-displaced intracapsular femoral neck fractures, with 23 fixed with cannulated screws and 14 with a Dynamic Hip Screw. Mean age – 85, M:F (1:4.75). All patients were either Garden Classification Type I or II. 4% had cognitive impairment. All patients were independently mobile. 83% were followed up for 3 years, with 1 patient (4%) undergoing revision surgery 3 years following cannulated screw fixation. The 30-day mortality rate was 5%. Conclusions The treatment choice for un-displaced intracapsular femoral neck fractures in the elderly remains debateable. Our retrospective review shows that the rate of re-operation is low in patients who have undergone fixation with cannulated screws and so this remains a viable option.

Displaced Femoral Neck Fractures in the Elderly

2001 ◽  
Vol 383 ◽  
pp. 229-242 ◽  
Author(s):  
Richard Iorio ◽  
William L. Healy ◽  
David W. Lemos ◽  
David Appleby ◽  
Christopher A. Lucchesi ◽  
...  
Keyword(s):  
Femoral Neck ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Displaced Femoral Neck Fractures

Displaced femoral neck fractures in the elderly: Methods of treatment with analysis of outcomes and cost effectiveness

1998 ◽  
Vol 13 (2) ◽  
pp. 230
Author(s):  
Richard Iorio ◽  
William L. Healy ◽  
David W. Lemos ◽  
David Appleby ◽  
Christopher A. Lucchesi
Keyword(s):  
Cost Effectiveness ◽  
Femoral Neck ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Displaced Femoral Neck Fractures ◽  
Methods Of Treatment

scholarly journals Treatment of Displaced Femoral Neck Fractures: Unipolar Hemiarthroplasty Versus Bipolar Hemiarthroplasty

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 10-14
Author(s):  
Md Ashraful Islam ◽  
Md Abdur Rashid ◽  
Md Rafiqul Islam ◽  
Md Masudar Rahman ◽  
Md Asmaul Hossain Khan ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Early Mobilization ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Medical College ◽  
Bipolar Group ◽  
Displaced Femoral Neck Fractures ◽  
Displaced Fracture

Background: Femoral neck fractures are common in the elderly population. To avoid the poor outcome of internal fixation and for early mobilization, hemiarthroplasty is performed. However, there is inadequate evidence to support the choice between unipolar or bipolar hemiarthroplasty.Objectives: The aim of this study was to compare the outcome of unipolar with the bipolar prosthesis in geriatric patients.Methods: Forty-one patients above 60 years of age and an acute displaced fracture of the femoral neck were randomly allocated to treatment by either unipolar or bipolar hemiarthroplasty, in the Department of Orthopaedics at Khwaja Yunus Ali Medical College and Hospital, Enayetpur, Sirajgonj, Bangladesh in between December 2014 and February 2017. Functional outcome was assessed and compared using Harris hip score and radiological parameters with a follow-up of one year.Results: The two groups of patients with mean age of 67.3 in bipolar group and 75.6 in unipolar group did not differ in their pre-injury characteristics and perioperative parameters. The mean Harris hip score in bipolar and unipolar groups was 86.18±12.18 and 79.79±15.55, respectively (p=0.183); range of motion was 210.63±28.39 and 181.58±37(p=0.015) with bipolar and unipolar groups, respectively. Functional activities were better in the bipolar group. Complications like painful hip, posterior dislocation, periprosthetic fracture and acetabular erosion were encountered in unipolar prostheses.Conclusion: The use of bipolar endoprosthesis in the management of displaced femoral neck fractures in the elderly was associated with better mean Harris hip score and incidence of complications was limited. Hence, bipolar would be a better option in elderly patients with fracture neck of femur.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 10-14

Displaced femoral neck fractures in the elderly

2004 ◽  
Vol 19 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Richard Iorio ◽  
William L Healy ◽  
David Appleby ◽  
John Milligan ◽  
Michael Dube
Keyword(s):  
Femoral Neck ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Displaced Femoral Neck Fractures

scholarly journals The prevalence of fracture extension in displaced femoral neck fractures in the elderly

2019 ◽  
Vol 2 (4) ◽  
pp. e033
Author(s):  
Kyle Matsuo Natsuhara ◽  
Robert Downey Boutin ◽  
Mark Andrew Lee ◽  
John Patrick Meehan
Keyword(s):  
Femoral Neck ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Displaced Femoral Neck Fractures

Treatment of Displaced Femoral Neck Fractures in the Elderly: A Cost-Benefit Analysis

2009 ◽  
Vol 23 (6) ◽  
pp. 442-446 ◽  
Author(s):  
Bashar Alolabi ◽  
Sohail Bajammal ◽  
Janhavi Shirali ◽  
Paul J Karanicolas ◽  
Amiram Gafni ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Benefit Analysis ◽  
Displaced Femoral Neck Fractures
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