Undisplaced Femoral Neck Fractures

Sundsvall Hospital235 enrolled

Overview

Purpose The purpose of this study is to compare the clinical outcome and the rate of reoperations in a cohort of patients with undisplaced femoral neck fractures treated with internal fixation and patients with displaced femoral neck fractures treated with hip arthroplasty. Methods In a consecutive series of patients we compared the results of internal fixation for undisplaced femoral neck fractures with those of hip arthroplasty for displaced fractures (control group) of elderly patients. Risk of reoperation and patient reported hip function assessed with Harris hip score and WOMAC were used as outcome measurements.

Study Type

OBSERVATIONAL

Enrollment

235

Conditions

Hip Fractures Femoral Neck Fractures Undisplaced Fracture Internal Fixation; Complications Arthroplasty Complications

Interventions

Patients treated according to the routine at the orthopedic department with screw fixation of an undisplayed femoral neck fracture or hip arthroplasty for a displaced femoral neck fracture.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: Above 65 years old Displaced femoral neck fracture treated with hip arthroplasty Undisplaced femoral neck fracture treated with internal fixation Exclusion Criteria: * Pathologic fracture

Outcomes

Primary Outcomes

Reoperation

Reapportions are recorded and compared between the groups.

Time frame: 4 years

Secondary Outcomes

Harris hip score

Patient reported outcome (0-100 points) for evaluation of hip function.

Time frame: 1 year postoperatively

WOMAC

Patient reported outcome (0-96 points) for evaluation of hip function.

Time frame: 1 year postoperatively

Pain in the operated hip

Estimated with pain numeric rating scale (PNRS). Grading 0-10.

Time frame: 1 year postoperatively