Medium-term patient-reported outcomes after total hip replacement for displaced hip fractures

• Published in: European journal of orthopaedic surgery & traumatology Vol. 27; no. 7; pp. 917 - 921
• Main Authors: Middleton, Scott D., McNiven, Neil, Anakwe, Raymond E., Jenkins, Paul J., Aitken, Stuart A., Keating, John F., Moran, Matthew
• Format: Journal Article
• Language: English
• Published: Paris Springer Paris 01.10.2017; Springer Nature B.V
• Subjects: Activities of Daily Living; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip; Female; Fractures; Hip Dislocation - psychology; Hip Dislocation - surgery; Hip Fractures - psychology; Hip Fractures - surgery; Hip Prosthesis; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Original Article • HIP - FRACTURE; Patient Reported Outcome Measures; Patient Satisfaction; Prospective Studies; Prosthesis-Related Infections - etiology; Questionnaires; Reoperation - statistics & numerical data; Surgical Orthopedics; Surveys and Questionnaires; Traumatic Surgery; Treatment Outcome; Trauma hips; Total hip replacement; THA; Hip; Total hip arthroplasty; THR
• ISSN: 1633-8065; 1432-1068
• DOI: 10.1007/s00590-017-1907-y

Introduction The aim of the present study was to define the medium-term outcomes following total hip replacement (THR) for hip fracture. Methods We prospectively followed up 92 patients who underwent THR for a displaced hip fracture over a 3-year period between 2007 and 2010. These patients were followed up at 5 years using the Oxford Hip Score, Short-Form 12 (SF-12) questionnaire and satisfaction questionnaire. These outcomes were compared to the short-term outcomes previously reported at 2 years to determine any significant differences. Results Mean follow-up was at 5.4 years with a mean age at follow-up of 76.5 years. Seventy-four patients (80%) responded. Patients reported excellent functional outcomes and satisfaction (mean Oxford Hip Score 40.3; SF-12 Physical Health Composite Score 44.0; SF-12 Mental Health Composite Score 46.2; mean satisfaction 90%). The rates of dislocation (2%), deep infection (2%) and revision (3%) were comparable to those quoted for elective THR. When compared with 2-year follow-up, there were no statistically significant adverse changes in outcome parameters. Conclusions Medium-term outcomes for THR after hip fracture in fit older patients are excellent, and these results demonstrate that the early proven benefits of this surgery are sustained into the midterm.