Treatment of displaced neck fractures of the femur with total hip arthroplasty

J Arthroplasty. 2012 Feb;27(2):246-52. doi: 10.1016/j.arth.2011.04.041. Epub 2011 Dec 3.


We report our experience in unstable fractures of the femoral neck in a consecutive series of patients who underwent total hip arthroplasty. Over a period of 12 years, 88 patients were treated with a cemented total hip arthroplasty; 3 patients were lost to follow-up, leaving 86 fractures (85 patients) for retrospective analysis. Seven patients had dislocations, all but 1 of which were treated successfully without reoperation. Four patients required reoperation in the same hip undergoing arthroplasty. There was a graded increase in mortality rates across the continuum of risk groups at the time of surgery. The low incidence (4.6%) of a second procedure on the hip repaired initially, as well as low mortality rates, makes this treatment strategy quite satisfactory.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / methods*
  • Arthroplasty, Replacement, Hip / mortality
  • Bone Cements*
  • Female
  • Femoral Neck Fractures / surgery*
  • Follow-Up Studies
  • Hip Joint / diagnostic imaging
  • Hip Joint / surgery*
  • Humans
  • Incidence
  • Joint Dislocations / epidemiology
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Radiography
  • Reoperation / statistics & numerical data
  • Retrospective Studies
  • Survival Rate
  • Treatment Outcome


  • Bone Cements