The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Aug 2005
Randomized Controlled Trial Clinical TrialComparison of internal fixation with total hip replacement for displaced femoral neck fractures. Randomized, controlled trial performed at four years.
Recent randomized, controlled trials performed at two years postoperatively have shown that a primary total hip replacement is superior to internal fixation for the treatment of a displaced femoral neck fracture in a relatively healthy, mentally competent, elderly patient. The primary aim of the present study was to evaluate the outcomes at four years. ⋯ Compared with internal fixation, primary total hip replacement provides a better outcome for mentally competent elderly patients with a displaced femoral neck fracture. The complication and reoperation rates were significantly lower and hip function and health-related quality of life were at least as good at four years after the surgery.