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Comparison of internal fixation with total hip replacement for displaced femoral neck fractures. Randomized, controlled trial performed at four years.

Author: BlomfeldtRichard, PonzerSari, SöderqvistAnita, TidermarkJan, TörnkvistHans

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

This study examines the long-term (4 years) outcomes of two treatments for a broken hip (displaced femoral neck fracture) in older, healthy patients: 1) hip replacement and 2) internal fixation (using screws or plates to hold the bone together). The study builds on previous research that showed hip replacement was more effective than internal fixation at 2 years after surgery. The aim of this study is to evaluate if this benefit is maintained at 4 years.
Paper Details　
Original Abstract of the Article :
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 pre...See full text at original site
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引用元：
https://doi.org/10.2106/JBJS.D.02655

データ提供：米国国立医学図書館（NLM）

Total Hip Replacement vs. Internal Fixation: A Four-Year Showdown

In the world of orthopedic surgery, treating displaced femoral neck fractures is a significant challenge. These fractures, often occurring in older adults, can be quite painful and debilitating. This study delves into the long-term outcomes of two common treatment methods: total hip replacement and internal fixation. Previous studies at the two-year mark had shown that total hip replacement was better for healthy, mentally capable older adults. This study extended that research to four years, offering a longer-term perspective on the effectiveness of each approach.

Total Hip Replacement: A Winner in the Long Run

The study's findings at four years reinforced the earlier results. Total hip replacement emerged as the superior option for those patients. This conclusion is based on a rigorous, randomized controlled trial conducted over a significant period of time. Such long-term data are crucial for making informed decisions about treatment options.

The Importance of Choosing the Right Treatment

Choosing the right treatment for a displaced femoral neck fracture is crucial for a good recovery and long-term quality of life. This research provides valuable insights for orthopedic surgeons and their patients, helping them make informed decisions based on solid scientific evidence. The study emphasizes the need to consider the long-term consequences of each treatment, just as a camel would carefully consider the best route across a vast, unforgiving desert.

Dr. Camel's Conclusion

This research sheds light on the long-term implications of treating displaced femoral neck fractures. It emphasizes the importance of choosing the right treatment for individual patients, considering their overall health and lifestyle. Just like a camel adapts to the challenging terrain of the desert, orthopedic surgeons strive to provide the best possible care for their patients, ensuring a smooth and successful journey towards recovery.

Date :
  1. Date Completed 2005-09-07
  2. Date Revised 2022-03-17
Further Info :

Pubmed ID

16085605

DOI: Digital Object Identifier

10.2106/JBJS.D.02655

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・Effective treatment of hip replacement
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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