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

被引：40

作者：

Leonardsson, O. ^{[1
]}

Rogmark, C. ^{[1
]}

Karrholm, J.

Akesson, K. ^{[1
]}

Garellick, G.

机构：

[1] Malmo Univ Hosp, Dept Orthopaed, S-20502 Malmo, Sweden

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2009年 / 91B卷 / 05期

关键词：

FEMORAL-NECK FRACTURES; NORWEGIAN-ARTHROPLASTY-REGISTER; FAILED INTERNAL-FIXATION; FEMUR; HEMIARTHROPLASTY; SURVIVORSHIP; TRIAL;

D O I：

10.1302/0301-620X.91B5.22224

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：

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.

引用

页码：595 / 600

页数：6

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