Social function after cervical hip fracture - A comparison of hook-pins and total hip replacement in 47 patients

被引:54
作者
Jonsson, B
Sernbo, I
Carlsson, A
Fredin, H
Johnell, O
机构
[1] Department of Orthopedics, Malmö University Hospital
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 1996年 / 67卷 / 05期
关键词
D O I
10.3109/17453679608996662
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
47 patients with a cervical hip fracture Garden 3 or 4 and fully ambulatory before the fracture, were randomized to either fixation with Hansson hook-pins (24 patients, median age 79 years) or to a Charnley hip replacement (23 patients, median age 80 years). The patients were followed for 2 years. Social function was evaluated using a standard questionnaire. There were no postoperative deaths and no significant differences in hospital stay. 9/24 patients treated with hook-pins developed healing complications and 2 dislocations occurred in the THR group. After 1 and 2 years, fewer patients treated with hip replacement used outdoor walking aids; they were also more likely to do their own shopping. Hip replacement is a good choice when treating healthy older people with displaced cervical hip fractures, when primary mortality is expected to be low and the risk of healing complications after nailing is high.
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页码:431 / 434
页数:4
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