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THR patients show better function, lower reoperate rate compared to ORIF patients
Researchers concluded in a randomized, controlled trial that total hip replacement improves hip function and significantly decreases the number of reoperations in patients with a displaced femoral neck fracture compared with open reduction, internal fixation.
“Over a period of 17 years in a group of healthy, elderly patients with a displaced femoral neck fracture, total hip replacement provided better hip function and significantly fewer reoperations compared with internal fixation without increasing morality,” Ghazi K. Chammout, MD, and colleagues stated in the study abstract.
The total hip replacement (THR) group showed a mean difference of 14.7 in Harris Hip Score (HHS) compared with open reduction, internal fixation (ORIF) group, according to the abstract. Twenty-three percent of the THR group required revision, compared to 53% in the ORIF group and four patients in the THR group underwent a major revision, whereas 22 patients who underwent ORIF required a major reoperation.
There was no difference in mortality between the two groups. Researchers saw daily living activities, speed and gait analysis improve more favorably in the THR group, according to the abstract.