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Displaced femoral neck fractures in patients 60-69 years old – Treatment and patient reported outcomes in a register cohort

Injury Aug 11, 2020

Lagergren J, et al. - This study was intended to present recent treatment and mortality rates for displaced hip fractures based on register data, with a focus on young elderly and to compare changes in patient-reported outcome measure (PROM) between treatments. Researchers obtained data from the Swedish Fracture Register, SFR. In patients 60 years or older, the study found 9,564 femoral neck fractures divided as displaced (AO/OTA 31-B3). 883 patients were aged 60-69 years. The results indicated that total hip arthroplasty (THA) is a common treatment for displaced FNF in Sweden in young elderly patients. The data highlighted that individuals in this segment treated with HA differ from individuals treated with THA and internal fixation (IF), with baseline outcomes in PROM indicating poorer health and function, as well as higher mortality and lower response rates. No differences were noted in crude mortality between IF and THA treatment, and no significant influence from treatment on PROM outcome comparing THA and IF.

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