The Journal of Arthroplasty
Volume 27, Issue 2 , Pages 246-252, February 2012

Treatment of Displaced Neck Fractures of the Femur With Total Hip Arthroplasty

  • Sergio Rudelli, MD

      Affiliations

    • Teaching and Research Institute, Sírio Libanês Hospital; São Paulo, Brazil
    • Sírio Libanês Hospital; São Paulo, Brazil
    • Corresponding Author InformationReprint requests: Prof. Dr. Sergio Rudelli, R. Dona Adma Jafet, 50-8 Andar, 01308-050 Sao Paulo, Brazil.
    • ,
  • Sergio P. Viriato, MD

      Affiliations

    • Sírio Libanês Hospital; São Paulo, Brazil
    • ,
  • Tadeu L.O. Meireles, MD

      Affiliations

    • Sírio Libanês Hospital; São Paulo, Brazil
    • ,
  • Tiago N. Frederico, MD

      Affiliations

    • Sírio Libanês Hospital; São Paulo, Brazil

Received 25 June 2010; accepted 30 April 2011. published online 05 December 2011.

Abstract 

We report our experience in unstable fractures of the femoral neck in a consecutive series of patients who underwent total hip arthroplasty. Over a period of 12 years, 88 patients were treated with a cemented total hip arthroplasty; 3 patients were lost to follow-up, leaving 86 fractures (85 patients) for retrospective analysis. Seven patients had dislocations, all but 1 of which were treated successfully without reoperation. Four patients required reoperation in the same hip undergoing arthroplasty. There was a graded increase in mortality rates across the continuum of risk groups at the time of surgery. The low incidence (4.6%) of a second procedure on the hip repaired initially, as well as low mortality rates, makes this treatment strategy quite satisfactory.

Keywords: arthroplasty hip, femur neck fractures, postoperative complications, aged, patient satisfaction

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 The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.04.041.

PII: S0883-5403(11)00229-4

doi:10.1016/j.arth.2011.04.041

The Journal of Arthroplasty
Volume 27, Issue 2 , Pages 246-252, February 2012

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