Hemiarthroplasty or osteosynthesis in cervical hip fractures: matched-pair analysis in 892 patients

Archives of Orthopaedic and Trauma Surgery
Tero HeikkinenPekka Jalovaara

Abstract

Our aim was to compare hemiarthroplasty (HA) and osteosynthesis (OS) in the treatment of cervical hip fractures using matched-pair analysis, especially with regard to different age groups. Data concerning all hip fractures (excluding pathological fractures) at the University Hospitals of Lund in Sweden, where osteosynthesis with LIH hook-pins was used exclusively, and of Oulu in Finland, using mainly cementless Austin-Moore hemiarthroplasty, were registered during 1989-1996 using the same standardized hip fracture forms filled in preoperatively and at 4 months follow-up. Altogether 446 pairs matched for age, sex, place of residence and walking ability at the time of fracture were found. Patients aged 55-80 years seemed to benefit more, with regard to function, from OS than older patients. At 4 months follow-up, 38% of HA and 48% of OS patients lived in their own homes, 16% and 27% were able to walk alone outdoors, and 11% versus 16% were able to walk without any aids, respectively. At 1 year follow-up, mortality was significantly lower among the OS patients, but the reoperation rate was significantly higher. In conclusion, OS is associated with a better function and lower mortality than HA, especially in younger patients, and i...Continue Reading

Citations

Nov 20, 2002·Ageing Research Reviews·Ray MarksJoseph M Lane
Jun 25, 2009·Journal of Orthopaedic Trauma·Andrew H SchmidtDaniel J Berry
Dec 18, 2009·Orthopaedic Nursing·Birgitta OlofssonOlle Svensson
Nov 18, 2010·The British Journal of Radiology·B AlmazediG Pereira
Jul 5, 2005·Clinical Orthopaedics and Related Research·Yoichiro IshidaToshihiko Taguchi
May 4, 2005·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·T Heikkinen, P Jalovaara

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