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. 2017 Nov/Dec;46(6):E474-E478.

Total Hip Arthroplasty and Hemiarthroplasty: US National Trends in the Treatment of Femoral Neck Fractures

Colin Y L Woon  1 , Vincent M Moretti, Brian E Schwartz, Benjamin A Goldberg
Affiliations
  • PMID: 29309466

Total Hip Arthroplasty and Hemiarthroplasty: US National Trends in the Treatment of Femoral Neck Fractures

Colin Y L Woon et al. Am J Orthop (Belle Mead NJ). 2017 Nov/Dec.

Abstract

There is controversy regarding whether total hip arthroplasty (THA) or hemiarthroplasty (HA) is the treatment preferred for displaced intracapsular femoral neck fractures (FNFs). Using the US National Hospital Discharge Survey, we found that, of 12,757 patients admitted for FNF between 2001 and 2010, 4.6% underwent THA and 52.5% underwent HA. More of both procedures were performed over time. Mean age was higher for HA patients. Hospitalization duration and blood transfusion rates were higher for THA. There were region-based differences in frequency of THA and significant hospital-size-based differences in frequency of HA, possibly because of differences in regional training and subspecialist availability. In addition, a larger proportion of THA patients was covered by private insurance.

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Conflict of interest statement

Authors’ Disclosure Statement: The authors report no actual or potential conflict of interest in relation to this article.

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