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  • Title: [Cementless total hip arthroplasty after acute femoral neck fracture in active patients. Prospective matched study with a minimum follow-up of 5 years].
    Author: Lizaur-Utrilla A, Sanz-Reig J, Miralles-Muñoz FA.
    Journal: Rev Esp Cir Ortop Traumatol; 2014; 58(3):152-9. PubMed ID: 24582306.
    Abstract:
    OBJECTIVES: To evaluate outcomes of cementless total hip replacement after acute femoral neck fracture in active patients. MATERIAL AND METHODS: A prospective matched study was conducted to compare the results between 76 patients with fractures and 76 patients with osteoarthritis. The Harris score, short-WOMAC and SF-12 were used for the clinical assessment. The mean follow-up was 7.3 years (range 5-11). RESULTS: There were no significant differences in medical or surgical complications between the 2 groups. Functional outcomes were similar, but more walking aids were used in fracture group. There were 6 revisions among the fractures group (one dislocation, 2 deep infections, 3 aseptic loosening), and 2 aseptic loosening among controls. There was no significant difference in arthroplasty survival at 10 years (88.7 vs. 96.1%, P=.15). The mortality rates at 2 and 10 years were similar. CONCLUSION: Cementless total hip replacement for treatment of acute femoral neck fracture showed similar results to those of elective surgery for osteoarthritis in these selected patients.
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