Collum femoris frakturer - a-kursus.dk

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Primary arthroplasty is better than internal fixation of displaced femoral neck fractures: a meta-analysis of 14 randomized studies with 2,289 patients. Rogmark C, Johnell O. Acta Orthop • Primary arthroplasty should be used in most patients with displaced femoral neck fracture. The healthy, lucid individual, 70-80 years old, should be given a total hip arthroplasty. • The older, impaired or institutionalized patient would benefit from a hemiarthroplasty.
Displaced femoral neck fracture: a comparison of primary total hip replacement with secondary replacement after failed hip internal fixation Blomfeldt R, Törnkvist, Ponzer S, Söderquist A, Tidermark J. Acta Ortohopaedica 2006; 77: 638-643 • Prim THA versus sec THA after failed IF • Prim THA 43 versus Sec THR 41 • 2 yrs • EQ-5D: 0.70 versus 0.63 • C Hip Score 15 13 (SD 2.5) • Pain Score 5.6 4.7 (SD 1.5) • Hip Score Movement 4.9 4.5 (SD 0.8) • Support THA in active lucid patients • Bias?
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