104 patients with a displaced intracapsular fracture were randomised to surgical treatment with either a cemented hemiarthroplasty or a cemented total hip arthroplasty. All surviving patients were followed up for five years from injury by a blinded observer. No differences in outcome between groups was seen for the degree of residual pain or regain of function or independence. There was a tendency to more complications and re-operations for those treated with the total hip arthroplasty. We continue to recommend that caution should be exercised regarding the increased promotion of THR for intracapsular hip fractures until further studies with long term follow up are completed.
Keyphrases
- total hip arthroplasty
- total knee arthroplasty
- end stage renal disease
- newly diagnosed
- study protocol
- open label
- clinical trial
- chronic kidney disease
- ejection fraction
- total hip
- chronic pain
- prognostic factors
- peritoneal dialysis
- pain management
- placebo controlled
- neuropathic pain
- double blind
- hip fracture
- bariatric surgery
- weight loss
- patient reported
- case control