A long term follow-up for a randomised trial of total hip arthroplasty versus hemiarthroplasty for displaced intracapsular fractures

Martyn J Parker; Shirley Cawley

doi:10.1016/j.injury.2023.110925

A long term follow-up for a randomised trial of total hip arthroplasty versus hemiarthroplasty for displaced intracapsular fractures

Injury. 2023 Aug;54(8):110925. doi: 10.1016/j.injury.2023.110925. Epub 2023 Jul 5.

Authors

Martyn J Parker¹, Shirley Cawley²

Affiliations

¹ Department of Orthopaedics, Peterborough City Hospital, North West Anglia NHS Foundation Trust, CBU PO Box 211, Bretton Gate, Peterborough PE3 9GZ, England, United Kingdom. Electronic address: [email protected].
² Department of Orthopaedics, Peterborough City Hospital, North West Anglia NHS Foundation Trust, CBU PO Box 211, Bretton Gate, Peterborough PE3 9GZ, England, United Kingdom.

PMID: 37441858
DOI: 10.1016/j.injury.2023.110925

Abstract

104 patients with a displaced intracapsular fracture were randomised to surgical treatment with either a cemented hemiarthroplasty or a cemented total hip arthroplasty. All surviving patients were followed up for five years from injury by a blinded observer. No differences in outcome between groups was seen for the degree of residual pain or regain of function or independence. There was a tendency to more complications and re-operations for those treated with the total hip arthroplasty. We continue to recommend that caution should be exercised regarding the increased promotion of THR for intracapsular hip fractures until further studies with long term follow up are completed.

Keywords: Arthroplasty; Intracapsular hip fracture; Randomised trial.

Publication types

Randomized Controlled Trial

MeSH terms

Arthroplasty, Replacement, Hip*
Femoral Neck Fractures* / surgery
Follow-Up Studies
Hemiarthroplasty*
Hip Fractures* / surgery
Humans
Treatment Outcome