Prospective Randomized Clinical Trial Comparing Hemiarthroplasty to Total Hip Arthroplasty in the Treatment of Displaced Femoral Neck Fractures. Winner of the Dorr Award

William Macaulay, Kate W. Nellans, Kevin Lloyd Garvin, Richard Iorio, William L. Healy, Melvin P. Rosenwasser

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

The Displaced Femoral (neck fracture) Arthroplasty Consortium for Treatment and Outcomes study is a prospective, multicenter randomized clinical trial comparing hemiarthroplasty to total hip arthroplasty (THA) in the treatment of displaced femoral neck fractures in previously independent patients. Primary outcomes were measured at 6, 12, and 24 months with the Short Form-36 (SF-36), Western Ontario and McMaster Osteoarthritis Index (WOMAC), and the Harris Hip Score and the Timed "Up & Go" Test. Forty subjects were enrolled. At 24 months, THA patients had significantly less pain on the SF-36 subscale than hemiarthroplasty patients (54.8 ± 7.9 vs 44.7 ± 10.5, P = .04) and scored significantly better on the SF-36 mental health subscale (54.9 ± 9.4 vs 40.9 ± 10.3, P = .006). Total hip arthroplasty patients also had superior WOMAC function scores (81.8 ± 10.2 vs 65.1 ± 18.1, P = .03). Significant differences in outcomes, without a significantly greater incidence of complications, suggest THA is a valuable treatment option for the active elderly hip fracture population.

Original languageEnglish (US)
Pages (from-to)2-8
Number of pages7
JournalJournal of Arthroplasty
Volume23
Issue number6 SUPPL.
DOIs
StatePublished - Sep 1 2008

Fingerprint

Hemiarthroplasty
Femoral Neck Fractures
Arthroplasty
Hip
Randomized Controlled Trials
Therapeutics
Hip Fractures
Ontario
Osteoarthritis
Mental Health
Outcome Assessment (Health Care)
Pain
Incidence
Population

Keywords

  • displaced femoral neck
  • hemiarthroplasty
  • primary outcomes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Prospective Randomized Clinical Trial Comparing Hemiarthroplasty to Total Hip Arthroplasty in the Treatment of Displaced Femoral Neck Fractures. Winner of the Dorr Award. / Macaulay, William; Nellans, Kate W.; Garvin, Kevin Lloyd; Iorio, Richard; Healy, William L.; Rosenwasser, Melvin P.

In: Journal of Arthroplasty, Vol. 23, No. 6 SUPPL., 01.09.2008, p. 2-8.

Research output: Contribution to journalArticle

Macaulay, William ; Nellans, Kate W. ; Garvin, Kevin Lloyd ; Iorio, Richard ; Healy, William L. ; Rosenwasser, Melvin P. / Prospective Randomized Clinical Trial Comparing Hemiarthroplasty to Total Hip Arthroplasty in the Treatment of Displaced Femoral Neck Fractures. Winner of the Dorr Award. In: Journal of Arthroplasty. 2008 ; Vol. 23, No. 6 SUPPL. pp. 2-8.
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