Abstract:
:Background and purpose - The treatment of patients between 55 and 70 years with displaced intracapsular femoral neck fracture remains controversial. We compared internal fixation (IF), bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA) in terms of mortality, reoperations and patient-reported outcome by using data from the Norwegian Hip Fracture Register. Patients and methods - We included 2,713 patients treated between 2005 and 2012. 1,111 patients were treated with IF, 1,030 with HA and 572 patients with THA. Major reoperations (defined as re-osteosynthesis, secondary arthroplasty, exchange, or removal of prosthesis components and Girdlestone procedure), patient-reported outcome measures (satisfaction, pain, and health-related quality of life (EQ5D) after 4 and 12 months), 1-year mortality, and change in treatment methods over the study period were investigated. Results - Major reoperations occurred in 27% after IF, 3.8% after HA and 2.8% after THA. 549 patients (20% of total study population) answered both questionnaires. Compared with IF, patients treated with THA were more satisfied after 4 and 12 months, reported less pain after 4 months and 12 months, had a higher EQ5D-index score after 4 months and 12 months, and EQ-VAS score after 4 months. Compared with IF, patients treated with HA were more satisfied and reported less pain after 4 months. EQ5D-index and EQ-VAS were similar. Patients treated with HA had higher 1-year mortality and had more comorbidities than both the THA and IF group. All these differences were statistically and clinically significant. Interpretation - This study showed high reoperation rate after IF and better patient-reported outcome after both THA and HA with medium follow-up. Patients selected for HA represented a frailer group than patients treated with THA or IF.
journal_name
Acta Orthopjournal_title
Acta orthopaedicaauthors
Bartels S,Gjertsen JE,Frihagen F,Rogmark C,Utvåg SEdoi
10.1080/17453674.2017.1376514subject
Has Abstractpub_date
2018-02-01 00:00:00pages
53-58issue
1eissn
1745-3674issn
1745-3682journal_volume
89pub_type
杂志文章abstract::Background and purpose - Osteoarthritis has become the most common indication for shoulder arthroplasty in Denmark, and the treatment strategies have changed towards the use of anatomical total shoulder arthroplasty and reverse shoulder arthroplasty. We investigated whether changes in the use of arthroplasty types hav...
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doi:10.3109/17453674.2014.960141
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:2021-01-07 00:00:00
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更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2010-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
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