Total hip arthroplasty for the management of hip fracture: A review of the literature

被引:9
|
作者
Stirton, Jacob B. [1 ]
Maier, Jacob C. [2 ]
Nandi, Sumon [2 ]
机构
[1] Univ Toledo, Med Ctr, Dept Orthoped, MS 1094,3000 Arlington Ave, Toledo, OH 43614 USA
[2] Univ Toledo, Coll Med & Life Sci, 3000 Arlington Ave, Toledo, OH 43614 USA
关键词
FEMORAL-NECK FRACTURES; DISPLACED INTRACAPSULAR FRACTURE; RANDOMIZED CLINICAL-TRIAL; INTERNAL-FIXATION; FOLLOW-UP; BIPOLAR HEMIARTHROPLASTY; PROPHYLACTIC CERCLAGE; INDEPENDENT PATIENTS; ELDERLY-PATIENTS; DIRECT ANTERIOR;
D O I
10.1016/j.jor.2019.02.012
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
Total hip arthroplasty (THA) is indicated for completely displaced femoral neck fractures (FNF) in elderly community ambulators. Compared to open reduction internal fixation (ORIF) and hemiarthroplasty (HA), THA has favorable outcomes in this population. Cementless fixation with prophylactic cabling is the technique of choice. THA is costlier for hip fractures than for osteoarthritis, but is cost effective for FNF given its lower rate of revision than HA or ORIF. Postoperative home discharge with a home exercise program in appropriate patients may effectively control costs while optimizing outcome.
引用
收藏
页码:141 / 144
页数:4
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