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The Results of Total Hip Arthroplasty for Fractured Neck of Femur in Octogenarians.
J Arthroplasty. 2013 Aug 16;
Authors: Kieffer WK, Dawe EJ, Lindisfarne EA, Rogers BA, Nicol S, Stott PM
Abstract
The role of total hip arthroplasty (THA) for fracture in octogenarians remains unclear. Over a two-year period, 354 patients aged > 80years were admitted with a displaced intracapsular hip fracture. Using defined clinical guidelines, 38 patients underwent THA with a median age of 84years, mean follow-up of 20months. Primary outcomes were dislocation, 30-day and one-year mortality, revision surgery and periprosthetic fracture. There were no dislocations or periprosthetic fractures and patient survival was 97% at 30days and 87% at one year. There was one revision for deep infection. This study demonstrates that THA for selected octogenarians can be performed safely, allows the majority of patients to return to independent living and has a low complication rate.
PMID: 23958235 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23958235?dopt=Abstract
