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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 5, 595-600.
doi: 10.1302/0301-620X.91B5.22224  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients

O. Leonardsson, MD, Resident Orthopaedic Surgeon1; C. Rogmark, MD, PhD, Consultant Orthopaedic Surgeon1; J. Kärrholm, MD, PhD, Professor2; K. Åkesson, MD, PhD, Professor1; and G. Garellick, MD, PhD, Consultant Orthopaedic Surgeon2

1 Department of Orthopaedics Malmö University Hospital, S-205 02 Malmö, Sweden.
2 Department of Orthopaedics Sahlgrenska University Hospital/Mölndal, S-431 80 Mölndal, Sweden.

Correspondence should be sent to Dr O. Leonardsson; e-mail: olof.leonardsson{at}skane.se

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 and periprosthetic fracture were the most common causes of revision. The risk was higher in men than in women. The type of femoral component and the surgical approach influenced the risk. After correction for gender, type of component and the surgical approach the revision rates were similar in the primary and secondary fracture THR groups.

Total hip replacement is therefore a safe method for both the primary and secondary management of fracture of the hip.




eLetters:

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Does the size of femoral head influence rate of hip dislocation after THR for fracture neck femur?
Sunil Apsingi, et al.
J Bone Joint Surg Br Online, 20 May 2009 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General