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Review
. 2016 Jan 23;13(1):33-9.
doi: 10.1016/j.jor.2015.12.003. eCollection 2016 Mar.

What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty? A comparison of hip fracture outcomes in the very elderly population

Joshua Griffin  1 , Travis L Anthony  1 , Donavan K Murphy  1 , Kindyle L Brennan  1 , Michael L Brennan  1
Affiliations
Review

What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty? A comparison of hip fracture outcomes in the very elderly population

Joshua Griffin et al. J Orthop. .

Abstract

Methods: A retrospective comparative study was performed at a level 1 trauma center at which electronic medical records and digital radiographs were reviewed for 949 femoral neck fractures. For the primary outcome of reoperation based on age, Kaplan-Meier models were built and analysis applied.

Results: A total of 334 fractures were nondisplaced treated with closed reduction and percutaneous pinning (CRPP), and 615 were displaced managed with hemiarthroplasty (HA). Overall, 98 patients (10.33%) required reoperation. Increasing reoperation rates for CRPP was seen with each subsequent age group. The opposite was seen with HA in which increasing age groups showed lower reoperation rates.

Keywords: AVN, avascular necrosis; CRPP, closed reduction and percutaneous pinning; FNF, femoral neck fractures; Femoral neck fractures; HA, hemiarthroplasty; Hemiarthroplasty; Internal fixations; THA, additional treatment options.

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Figures

Fig. 1
Fig. 1
Reoperation rates at two-year follow-up of CRPP versus HA by age groups.
Fig. 2
Fig. 2
Reoperation of CRPP versus HA within the octogenarian population.
See this image and copyright information in PMC

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