Outcome after primary and secondary replacement for subcapital fracture of the hip in 10 264 patients.

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopaedics (hsv//eng)

Nyckelord

Aged

Aged

80 and over

Arthroplasty

Replacement

Hip

methods

utilization

Confidence Intervals

Female

Femoral Neck Fractures

surgery

Follow-Up Studies

Fracture Fixation

Internal

methods

Hip Prosthesis

Humans

Male

Middle Aged

Prosthesis Failure

Regression Analysis

Reoperation

methods

Sex Distribution

Sweden

Treatment Outcome

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)