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Review
. 2024 Jan;34(1):144-151.
doi: 10.1177/11207000231177642. Epub 2023 Jun 14.

Controversies around hip fracture treatment: clinical evidence versus trends from national registries

Peter P Schmitz  1 , Matthijs P Somford  1 , Simon S Jameson  2 , B Willem Schreurs  3 , Job L C van Susante  1
Affiliations
Review

Controversies around hip fracture treatment: clinical evidence versus trends from national registries

Peter P Schmitz et al. Hip Int. 2024 Jan.

Abstract

Purpose: Several controversies in the optimal treatment of femoral neck fractures persist, together with large variations in clinical practice.

Methods: A narrative literature review covering 4 current controversies in the surgical management of femoral neck fractures (total hip arthroplasty (THA) versus hemiarthroplasty (HA), cemented versus uncemented HA, internal fixation versus arthroplasty, operative versus non-operative) was performed. Available literature was balanced against annual trends in the management of femoral neck fractures from the public domain of several national registries (Sweden, Norway, The Netherlands, Australia and New Zealand).

Results: For most controversies, the literature provides stronger evidence than is reflected by variations encountered in daily practice. Implementation of clinical evidence tends to lag behind and important differences exist between countries.

Conclusions: Trends of clinical practice from national registries indicate that implementation of available clinical evidence needs to be improved.

Keywords: Arthroplasty; controversies; fixation; hip fracture; registries.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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