Comparison of complication rates between hemiarthroplasty and total hip arthroplasty for intracapsular hip fractures

Nelson F SooHoo, Eugene Farng, Lauchlan Chambers, David S Znigmond, Jay R Lieberman
Orthopedics 2013, 36 (4): e384-9
Hip fractures are common and have come to represent an increasing burden of disease. As a result, it is critical that cost-effective and evidence-based treatments be used to treat hip fractures. However, with regard to hemiarthroplasty vs total hip arthroplasty (THA), the optimal treatment of displaced femoral neck fractures in elderly patients remains controversial. The purpose of this study was to compare complication rates after hemiarthroplasty and THA for intracapsular hip fractures.Data on hospitalizations from 1995 through 2005 were obtained from California's Office of Statewide Health Planning and Development. Regression analyses were used to compare rates of short-term complications and mid-term revision surgeries following hemiarthroplasty and THA. The data identified 2437 patients undergoing THA and 38,328 undergoing hemiarthroplasty. At 90 days postoperatively, patients undergoing THA had no statistically significant increase in short-term complication risk compared with patients undergoing hemiarthroplasty (odds ratio, 0.89; P=.06). Cox regression analysis demonstrated no statistically significant difference in risk of revision surgery during the 11-year observation period.This study demonstrates similar short-term complication and mid-term revision risks following hemiarthroplasty and THA. This suggests that both procedures are safe alternatives, but further study is needed to clarify differences in functional outcomes and long-term revision rates for patients undergoing these procedures following a hip fracture.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"