Unipolar or bipolar hemiarthroplasty for femoral neck fractures in the elderly? Academic Article uri icon

Overview

abstract

  • This prospective randomized trial compared the efficacy of unipolar versus bipolar hemiarthroplasty in elderly patients (> or = 65 years) with displaced femoral neck fractures in terms of quality of life and functional outcomes. One hundred fifteen patients with a mean age of 82.1 years were enrolled in this study and randomized to either unipolar or bipolar hemiarthroplasty. Quality of life and functional outcomes were assessed using the Musculoskeletal Functional Assessment instrument and Short Form-36 health survey. Seventy-eight patients completed 1 year of followup. There were no differences between the groups in estimated blood loss, length of hospital stay, mortality rate, number of dislocations, postoperative complications, or ambulatory status at 1 year. There also were no significant differences between the two groups at either point in postoperative Short Form-36 or Musculoskeletal Functional Assessment instrument scores. Results of this prospective randomized study suggest that the bipolar endoprosthesis provides no advantage in the treatment of displaced femoral neck fractures in elderly patients regarding quality of life and functional outcomes.

publication date

  • September 1, 2003

Research

keywords

  • Arthroplasty, Replacement, Hip
  • Femoral Neck Fractures

Identity

Scopus Document Identifier

  • 0042819846

Digital Object Identifier (DOI)

  • 10.1097/01.blo.0000081938.75404.09

PubMed ID

  • 12966301

Additional Document Info

issue

  • 414