☆ 4.5 Review

Surgical treatment options for femoral neck fractures in the elderly

INTERNATIONAL ORTHOPAEDICS (2022)

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Review Orthopedics

Perioperative Mortality After Cemented or Uncemented Hemiarthroplasty for Displaced Femoral Neck Fractures-A Systematic Review and Meta-analysis

Christopher Fenelon et al.

Summary: This study found that compared to uncemented hemiarthroplasty, patients undergoing cemented hemiarthroplasty have a significantly higher mortality rate within the first 48 hours of surgery, but no difference at 7 days, 30 days, and one year. Surgeons should consider tailoring their stem choice based on the physiological status of the patient when planning hemiarthroplasty for femoral neck fractures and techniques to reduce the risk of bone cement implantation syndrome should be utilized.

JOURNAL OF ARTHROPLASTY (2021)

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Article Orthopedics

Mortality and revision risk after femoral neck fracture: comparison of internal fixation for undisplaced fracture with arthroplasty for displaced fracture: a population-based study from Danish National Registries

Bjarke Viberg et al.

Summary: The study found that among patients over the age of 70, those treated with arthroplasty for displaced FNF had a higher risk of mortality within 30 days post-surgery compared to those treated with IF, but no difference after 1 and 5 years; however, arthroplasty patients had lower risk of reoperation compared to IF patients.

ACTA ORTHOPAEDICA (2021)

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Review Orthopedics

Cemented versus uncemented hemiarthroplasty for the management of femoral neck fractures in the elderly: a meta-analysis and systematic review

Lang Li et al.

Summary: Cemented hemiarthroplasty was found to have better outcomes in terms of reoperation rate, prosthesis-related complications, residual pain, and operation time compared to uncemented hemiarthroplasty. However, there were no significant differences between the two groups in terms of local and general complications, duration of hospital stay, hip function, and mortality. Further studies are needed to strengthen the evidence.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2021)

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Review Orthopedics

Treatment of femoral neck fractures: sliding hip screw or cannulated screws? A meta-analysis

Yutong Xia et al.

Summary: This meta-analysis compared the clinical outcomes and complications of SHS and CCS in treating femoral neck fractures. It found that SHS had a higher rate of avascular necrosis, while CCS had a higher rate of implant removal. There were no significant statistical differences in other outcomes between the two groups.

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH (2021)

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Article Orthopedics

Cementless Fixation Is Associated With Increased Risk of Early and All-Time Revision After Hemiarthroplasty But Not After THA for Femoral Neck Fracture: Results From the American Joint Replacement Registry

James I. Huddleston et al.

Summary: Despite ample evidence supporting cemented femoral fixation as a preferred method for surgical treatment of displaced femoral neck fractures, cementless fixation is more commonly used in the United States. This study analyzed a large database comparing revision rates based on femoral fixation methods for hemiarthroplasty and THA, and found that cemented fixation is associated with lower revision rates for hemiarthroplasty but not for THA in the United States.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2021)

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Article Orthopedics

Osteosynthesis of non-displaced femoral neck fractures in the elderly population using the femoral neck system (FNS): short-term clinical and radiological outcomes

Oscar Vazquez et al.

Summary: This study evaluated the short-term clinical and radiological outcomes after osteosynthesis of non-displaced FNF using TS, DHS, and FNS. The results showed that FNS is a valid alternative implant for FNF osteosynthesis with a shorter operative time compared to TS and DHS. Short-term outcomes of FNS are similar to TS and DHS, but further long-term studies are needed for confirmation.

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH (2021)

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Review Medicine, General & Internal

Internal fixation implants for intracapsular hip fractures in older adults

Sharon R. Lewis et al.

Summary: This research evaluates the evidence for different types of internal fixation implants used in joint-preserving surgery for intracapsular hip fractures in older adults. The study found that there were no significant differences in early mortality, 12-month mortality, and unplanned return to theatre between the use of smooth pins and fixed angle plates for hip fractures. Similarly, there were no significant differences in functional status and health-related quality of life between screws and fixed angle plates. Further research is needed to increase the certainty of these outcomes.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2021)

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Article Orthopedics

Dynamic locking plate vs. cannulated cancellous screw for displaced intracapsular hip fracture: A comparative study

Yaniv Warschawski et al.

Summary: Comparing two techniques for displaced intracapsular hip fractures, it was found that using cannulated cancellous screw (CCS) resulted in shorter operative time and reduced costs. Therefore, CCS should be preferred for the treatment of this type of fractures.

JOURNAL OF ORTHOPAEDICS (2021)

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Review Orthopedics

Internal Fixation Versus Arthroplasty for the Treatment of Nondisplaced Femoral Neck Fractures in the Elderly: A Systematic Review and Meta-Analysis

John T. Richards et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2020)

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Article Geriatrics & Gerontology

Study protocol: HipSTHeR - a register-based randomised controlled trial - hip screws or (total) hip replacement for undisplaced femoral neck fractures in older patients

Olof Wolf et al.

BMC GERIATRICS (2020)

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Article Orthopedics

Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip: a randomized trial of 400 patients

M. J. Parker et al.

BONE & JOINT JOURNAL (2020)

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Article Medicine, General & Internal

Association Between Uncemented vs Cemented Hemiarthroplasty and Revision Surgery Among Patients With Hip Fracture

Kanu Okike et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2020)

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Article Cell & Tissue Engineering

Biomechanical evaluation of locked plating fixation for unstable femoral neck fractures

E. Bliven et al.

BONE & JOINT RESEARCH (2020)

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Review Orthopedics

Total Hip Arthroplasty Versus Hemiarthroplasty for Displaced Femoral Neck Fracture A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Seper Ekhtiari et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2020)

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Article Medicine, General & Internal

Retrospective cohort trial protocol of screw fixation compared with hemiarthroplasty for displaced femoral neck fractures in elderly patients

Boquan Qin et al.

MEDICINE (2020)

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Article Medicine, General & Internal

Is arthroplaSty bEtter than interNal fixation for undiSplaced femoral nEck fracture? A national pragmatic RCT: the SENSE trial

Bjarke Viberg et al.

BMJ OPEN (2020)

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Review Orthopedics

Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis

Lang Li et al.

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH (2020)

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Article Orthopedics

Higher stability and more predictive fixation with the Femoral Neck System versus Hansson Pins in femoral neck fractures Pauwels II

Clemens Schopper et al.

JOURNAL OF ORTHOPAEDIC TRANSLATION (2020)

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Article Orthopedics

Arthroplasty Versus Internal Fixation for the Treatment of Undisplaced Femoral Neck Fractures: A Retrospective Cohort Study

Shaikh Afaq et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2020)

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Article Orthopedics

Screw Fixation Versus Hemiarthroplasty for Nondisplaced Femoral Neck Fractures in Elderly Patients A Multicenter Randomized Controlled Trial

Filip C. Dolatowski et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2019)

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Review Orthopedics

Sliding hip screws versus cancellous screws for femoral neck fractures: a systematic review and meta-analysis

Mohamed S. A. Shehata et al.

EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY (2019)

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Article Critical Care Medicine

Treatment of the displaced intracapsular fracture for the 'fitter' elderly patients: A randomised trial of total hip arthroplasty versus hemiarthroplasty for 105 patients

Martyn J. Parker et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2019)

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Article Medicine, General & Internal

Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture The HEALTH Investigators

Mohit Bhandari et al.

NEW ENGLAND JOURNAL OF MEDICINE (2019)

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Article Orthopedics

Femoral Neck Shortening After Hip Fracture Fixation Is Associated With Inferior Hip Function: Results From the FAITH Trial

Jessica Felton et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2019)

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Review Critical Care Medicine

Outcomes of elderly patients with nondisplaced or minimally displaced femoral neck fractures treated with internal fixation: A systematic review and meta-analysis

A. L. Overmann et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2019)

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Article Orthopedics

Is dual cup mobility better than hemiarthroplasty in patients with dementia and femoral neck fracture? A randomized controlled trial

Raffaele Iorio et al.

SICOT-J (2019)

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Review Orthopedics

Outcomes of nondisplaced intracapsular femoral neck fractures with internal screw fixation in elderly patients: a systematic review

Ignacio J. Onativia et al.

HIP INTERNATIONAL (2018)

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Article Critical Care Medicine

Epidemiology and social costs of hip fracture

Nicola Veronese et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2018)

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Article Orthopedics

A new configuration of cannulated screw fixation in the treatment of vertical femoral neck fractures

Baokun Zhang et al.

INTERNATIONAL ORTHOPAEDICS (2018)

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Review Surgery

Sliding hip screw versus cannulated cancellous screws for fixation of femoral neck fracture in adults: A systematic review

Jian-xiong Ma et al.

INTERNATIONAL JOURNAL OF SURGERY (2018)

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Article Biotechnology & Applied Microbiology

Ordinary Cannulated Compression Screws or Headless Cannulated Compression Screws? A Synthetic Bone Biomechanical Research in the Internal Fixation of Vertical Femoral Neck Fracture

Baokun Zhang et al.

BIOMED RESEARCH INTERNATIONAL (2018)

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Article Orthopedics

A randomized controlled trial of cemented versus cementless arthroplasty in patients with a displaced femoral neck fracture A FOUR-YEAR FOLLOW-UP

B. Barenius et al.

BONE & JOINT JOURNAL (2018)

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Article Orthopedics

High failure rate after internal fixation and beneficial outcome after arthroplasty in treatment of displaced femoral neck fractures in patients between 55 and 70 years An observational study of 2,713 patients reported to the Norwegian Hip Fracture Register

Stefan Bartels et al.

ACTA ORTHOPAEDICA (2018)

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Article Orthopedics

Hemiarthroplasty versus internal fixation in super-aged patients with undisplaced femoral neck fractures: a 5-year follow-up of randomized controlled trial

Qifeng Lu et al.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2017)

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Article

Comparison of functional outcome of bipolar hip arthroplasty and total hip replacement in displaced femoral neck fractures in elderly in a developing country: a 2-year prospective study

Jayesh Chandrakant Sonaje et al.

European Journal of Orthopaedic Surgery and Traumatology (2017)

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Article Critical Care Medicine

The outcome of intracapsular hip fracture fixation using the Targon Femoral Neck (TFN) locking plate system or cannulated cancellous screws: A comparative study involving 2004 patients

Zeiad Alshameeri et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2017)

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Article Critical Care Medicine

A sliding hip screw augmented with 2 screws is biomechanically similar to an inverted triad of cannulated screws in repair of a Pauwels type-III fracture

B. Kemker et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2017)

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Article Orthopedics

Biomechanical Evaluation of the Femoral Neck System in Unstable Pauwels III Femoral Neck Fractures: A Comparison with the Dynamic Hip Screw and Cannulated Screws

Karl Stoffel et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2017)

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Article Medicine, General & Internal

Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial

Mohit Bhandari et al.

LANCET (2017)

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Article Medicine, General & Internal

Management of Acute Hip Fracture

Mohit Bhandari et al.

NEW ENGLAND JOURNAL OF MEDICINE (2017)

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Article Orthopedics

Hemiarthroplasty or total hip arthroplasty for the treatment of a displaced intracapsular fracture in active elderly patients 12-YEAR FOLLOW-UP OF RANDOMISED TRIAL

M. C. J. M. Tol et al.

BONE & JOINT JOURNAL (2017)

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Article Orthopedics

Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients

Joon Soon Kang et al.

BMC MUSCULOSKELETAL DISORDERS (2016)

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Article Medicine, General & Internal

Outcome Analysis of Hemiarthroplasty vs. Total Hip Replacement in Displaced Femoral Neck Fractures in the Elderly

Vipin Sharma et al.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2016)

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Article Orthopedics

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Ragnhild Oydna Stoen et al.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2014)

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Article Orthopedics

Cemented versus Uncemented Hemiarthroplasty for Displaced Femoral Neck Fractures: 5-year Followup of a Randomized Trial

Ellen Langslet et al.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2014)

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Article Orthopedics

Internal Fixation Compared with Total Hip Replacement for Displaced Femoral Neck Fractures

Torsten Johansson

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2014)

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Article Surgery

Prospective randomized controlled trial comparing dynamic hip screw and screw fixation for undisplaced subcapital hip fractures

Adam Watson et al.

ANZ JOURNAL OF SURGERY (2013)

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Article Orthopedics

Patient-Reported Outcome After Displaced Femoral Neck Fracture A National Survey of 4467 Patients

Olof Leonardsson et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2013)

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Article Orthopedics

Internal Fixation Versus Cemented Hemiarthroplasty for Displaced Femoral Neck Fractures in Patients With Severe Cognitive Dysfunction: A Randomized Controlled Trial

Carl-Johan Hedbeck et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2013)

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Article Orthopedics

Internal fixation of intracapsular fractures of the hip using a dynamic locking plate TWO-YEAR FOLLOW-UP OF 320 PATIENTS

M. Parker et al.

BONE & JOINT JOURNAL (2013)

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Article Orthopedics

A comparison of hemiarthroplasty with a novel polycarbonate-urethane acetabular component for displaced intracapsular fractures of the femoral neck A RANDOMISED CONTROLLED TRIAL IN ELDERLY PATIENTS

M. Cadossi et al.

BONE & JOINT JOURNAL (2013)

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Article Orthopedics

Total Hip Arthroplasty Versus Hemiarthroplasty for Displaced Femoral Neck Fractures: Meta-analysis of Randomized Trials

Ligang Yu et al.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH (2012)

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Article Orthopedics

Total Hip Replacement Versus Open Reduction and Internal Fixation of Displaced Femoral Neck Fractures A Randomized Long-Term Follow-up Study

Ghazi Khalil Chammout et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2012)

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Article Orthopedics

Hemiarthroplasty of the Hip with and without Cement: A Randomized Clinical Trial

Fraser Taylor et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2012)

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Article Orthopedics

Clinical outcome after undisplaced femoral neck fractures

Jan-Erik Gjertsen et al.

ACTA ORTHOPAEDICA (2011)

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Article Critical Care Medicine

Biomechanical analysis of the sliding hip screw, cannulated screws and Targon® FN in intracapsular hip fractures in cadaver femora

Erwin Brandt et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2011)

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Article Orthopedics

Internal fixation of femoral neck fractures with posterior comminution A biomechanical comparison of DHS® and Intertan nail®

Martin Rupprecht et al.

INTERNATIONAL ORTHOPAEDICS (2011)

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Article Critical Care Medicine

A Comparative Biomechanical Analysis of Fixation Devices for Unstable Femoral Neck Fractures: The Intertan Versus Cannulated Screws or a Dynamic Hip Screw

Martin Rupprecht et al.

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE (2011)

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Article Public, Environmental & Occupational Health

Comparison of hip fracture incidence and trends between Germany and Austria 1995-2004: An epidemiological study

Eva Mann et al.

BMC PUBLIC HEALTH (2010)

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Article Critical Care Medicine

Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures: A long-term follow-up of a randomised trial

Martyn J. Parker et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2010)

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Article Orthopedics

Internal Screw Fixation Compared with Bipolar Hemiarthroplasty for Treatment of Displaced Femoral Neck Fractures in Elderly Patients

J. -E. Gjertsen et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2010)

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Article Orthopedics

Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures RESULTS AT TEN YEARS IN A RANDOMISED STUDY OF 450 PATIENTS

O. Leonardsson et al.

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME (2010)

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Article Orthopedics

A comparison of hemiarthroplasty with total hip replacement for displaced intracapsular fracture of the femoral neck A RANDOMISED CONTROLLED MULTICENTRE TRIAL IN PATIENTS AGED 70 YEARS AND OVER

M. P. J. van den Bekerom et al.

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME (2010)

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Article Critical Care Medicine

Undisplaced femoral neck fractures-no problems? A consecutive study of 224 patients treated with internal fixation

Cecilia Rogmark et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2009)

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Article Orthopedics

Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis

Jing Wang et al.

INTERNATIONAL ORTHOPAEDICS (2009)

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Article Orthopedics

Optimal Internal Fixation for Femoral Neck Fractures: Multiple Screws or Sliding Hip Screws?

Mohit Bhandari et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2009)

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Review Orthopedics

Internal Fixation Versus Arthroplasty for Displaced Femoral Neck Fractures: What is the Evidence?

Martin J. Heetveld et al.

JOURNAL OF ORTHOPAEDIC TRAUMA (2009)

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Article Critical Care Medicine

Fixation versus hemiarthroplasty for undisplaced intracapsular hip fractures

Martyn J. Parker et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2008)

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Article Orthopedics

Primary arthroplasty is better than internal fixation of displaced femoral neck fractures - A meta-analysis of 14 randomized studies with 2,289 patients

Cecilia Rogmark et al.

ACTA ORTHOPAEDICA (2006)

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Article Orthopedics

Randomized comparison of reduction and fixation, bipolar hemiarthroplasty, and total hip arthroplasty - Treatment of displaced intracapsular hip fractures in healthy older patients

JF Keating et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2006)

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Review Medicine, General & Internal

Internal fixation versus arthroplasty for intracapsular proximal femoral fractures in adults

M. J. Parker et al.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2006)

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Article Critical Care Medicine

Mortality following surgery for undisplaced intracapsular hip fractures

M Sikand et al.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2004)

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Article Orthopedics

Internal fixation compared with arthroplasty for displaced fractures of the femoral neck - A meta-analysis

M Bhandari et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2003)

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Article Orthopedics

Internal fixation compared with total hip replacement for displaced femoral neck fractures in the elderly -: A randomised, controlled trial

J Tidermark et al.

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME (2003)

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Article Orthopedics

Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the the elderly - A randomised trial of 455 patients

MJ Parker et al.

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME (2002)

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