The Results of Total Hip Arthroplasty for Fractured Neck of Femur in Octogenarians

Abstract The role of total hip arthroplasty (THA) for fracture in octogenarians remains unclear. Over a two-year period, 354 patients aged > 80 years were admitted with a displaced intracapsular hip fracture. Using defined clinical guidelines, 38 patients underwent THA with a median age of 84 yea...

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Published in:The Journal of arthroplasty 2014-03, Vol.29 (3), p.601-604
Main Authors: Kieffer, Will K.M., MBBS BSc MRCS (Eng), Dawe, Edward J.C., MBBS MRCS, Lindisfarne, Edward A.O., MRCS, Rogers, Benedict A., MA MSc MRCGP FRCS (Tr&Orth), Nicol, Stephen, MBChB FRCS (Tr&Orth), Stott, Philip M., DPhil FRCS (Tr&Orth)
Format: Article
Language:English
Subjects:
Aged, 80 and over
Arthroplasty, Replacement, Hip
elderly
Female
Femoral Neck Fractures - surgery
fracture
hip
Humans
Male
neck of femur
Orthopedics
Retrospective Studies
total hip arthroplasty
trauma
Treatment Outcome
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Summary:Abstract The role of total hip arthroplasty (THA) for fracture in octogenarians remains unclear. Over a two-year period, 354 patients aged > 80 years were admitted with a displaced intracapsular hip fracture. Using defined clinical guidelines, 38 patients underwent THA with a median age of 84 years, mean follow-up of 20 months. Primary outcomes were dislocation, 30-day and one-year mortality, revision surgery and periprosthetic fracture. There were no dislocations or periprosthetic fractures and patient survival was 97% at 30 days and 87% at one year. There was one revision for deep infection. This study demonstrates that THA for selected octogenarians can be performed safely, allows the majority of patients to return to independent living and has a low complication rate.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2013.07.017