Internal fixation versus hemiarthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study.
J Bone Joint Surg Br
; 63-B(3): 357-61, 1981.
Article
em En
| MEDLINE
| ID: mdl-7263746
ABSTRACT
A prospective randomised trial of surgical treatment for the displaced subcapital femoral fracture in patients of 70 years or more is presented. Two hundred and eighteen patients were randomly allocated into one of three treatment groups manipulative reduction and internal fixation using Garden screws; Thompson hemiarthroplasty through a posterior (Moore) approach; and Thompson hemiarthroplasty through an anterolateral (McKee) approach. There is no significant difference in the mortality of the internal fixation and posterior arthroplasty groups. Both groups showed a significantly higher mortality than patients operated on through the anterior approach. The technical results of operation were worse in the internally fixed group, with only 40 per cent being satisfactory. Mobilisation was best achieved after the posterior approach. It is concluded that Thompson hemiarthroplasty, using an anterolateral approach, is the safest operation in this group of patients.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Colo Femoral
/
Fixação Interna de Fraturas
/
Prótese de Quadril
Tipo de estudo:
Clinical_trials
/
Observational_studies
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Bone Joint Surg Br
Ano de publicação:
1981
Tipo de documento:
Article