Total Hip Arthroplasty Compared to Internal Fixation for Displaced Intracapsular Fractures of the Femoral Neck

Total Hip Arthroplasty Compared to Internal Fixation for Displaced Intracapsular Fractures of the Femoral Neck. A Randomized, Controlled Trial With a Seventeen Year Follow-up

The primary aim of this study was to determine the Harris hip score as an evaluation of hip function, in mentally competent elderly patients (>65 years old) treated with either THR or IF, after contracting a displaced femoral neck fracture. The secondary aim was to compare the rate of reoperations and complications between the two groups.

Inclusion Criteria:

• Acute displaced femoral neck fracture Garden III or IV,
• Age over 65 years,
• Admission from their own home,
• No concurrent joint disease or previous fracture in the lower extremities,
• Healthy or controlled medical conditions without significant systemic effects (ASA 1-2),
• Harris hip score of 100
• Acceptance from the patient to participate in the study.