INTERNAL-FIXATION OR HEMIARTHROPLASTY FOR UNDISPLACED FRACTURES OF THE FEMORAL-NECK IN OCTOGENARIANS

被引:71
作者
HUI, ACW [1 ]
ANDERSON, GH [1 ]
CHOUDHRY, R [1 ]
BOYLE, J [1 ]
GREGG, PJ [1 ]
机构
[1] LEICESTER ROYAL INFIRM NHS TRUST,LEICESTER LE1 5WW,LEICS,ENGLAND
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1994年 / 76B卷 / 06期
关键词
D O I
10.1302/0301-620X.76B6.7983113
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We compared the reoperation rate after internal fixation for minimally displaced or impacted intracapsular fractures of the femoral neck in patients aged 80 years and above with that in similar patients aged 65 to 79 years. We also compared the results of internal fixation with those of hemiarthroplasty for displaced intracapsular fracture in an age- and sex-matched group of elderly patients. We found that a significantly greater proportion of the older patients treated by internal fixation required reoperation than either the younger group or the age-matched group treated by hemiarthroplasty. Our results indicate that internal fixation may not be the best treatment for extremely elderly patients with minimally displaced or impacted intracapsular fractures of the femoral neck
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页码:891 / 894
页数:4
相关论文
共 14 条
[1]   SUBCAPITAL FRACTURES OF FEMUR [J].
BARNES, R ;
BROWN, JT ;
GARDEN, RS ;
NICOLL, EA .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1976, 58 (01) :2-24
[2]  
Bentley G, 1968, J Bone Joint Surg Br, V50, P551
[3]   FEMORAL-NECK FRACTURE FIXATION - COMPARISON OF A SLIDING SCREW WITH LAG SCREWS [J].
CLARK, DI ;
CROFTS, CE ;
SALEH, M .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (05) :797-800
[4]   A PROSPECTIVE-STUDY OF FRACTURED PROXIMAL FEMUR - HOSPITAL DIFFERENCES [J].
EVANS, JG ;
WANDLESS, I ;
PRUDHAM, D .
PUBLIC HEALTH, 1980, 94 (03) :149-154
[5]   ROLE OF FATIGUE IN PATHOGENESIS OF SENILE FEMORAL-NECK FRACTURES [J].
FREEMAN, MAR ;
TODD, RC ;
PIRIE, CJ .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1974, B 56 (04) :698-702
[6]   LOW-ANGLE FIXATION IN FRACTURES OF THE FEMORAL NECK [J].
GARDEN, RS .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1961, 43 (04) :647-663
[7]   STRATEGIES FOR PREVENTION OF OSTEOPOROSIS AND HIP FRACTURE [J].
LAW, MR ;
WALD, NJ ;
MEADE, TW .
BMJ-BRITISH MEDICAL JOURNAL, 1991, 303 (6800) :453-459
[8]  
MARTINEZ LM, 1993, EFORT POSTGRADUATE L, V1, P88
[9]   NONOPERATIVE TREATMENT OF IMPACTED FEMORAL-NECK FRACTURES - A PROSPECTIVE-STUDY OF 170 CASES [J].
RAAYMAKERS, ELFB ;
MARTI, RK .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (06) :950-954
[10]   DISPLACED SUBCAPITAL FRACTURES OF THE FEMUR - A PROSPECTIVE RANDOMIZED COMPARISON OF INTERNAL-FIXATION, HEMIARTHROPLASTY AND TOTAL HIP-REPLACEMENT [J].
SKINNER, P ;
RILEY, D ;
ELLERY, J ;
BEAUMONT, A ;
COUMINE, R ;
SHAFIGHIAN, B .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1989, 20 (05) :291-293