Journal article

THA for a Fractured Femoral Neck: Comparing the Revision and Dislocation Rates of Standard-head, Large-head, Dual-mobility, and Constrained Liners

Wayne Hoskins, Xavier Griffin, Alesha Hatton, Richard N de Steiger, Roger Bingham

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH | LIPPINCOTT WILLIAMS & WILKINS | Published : 2021

Abstract

BACKGROUND: THA is a reasonable surgical option for some patients with fragility fractures of the femoral neck, but it has the risk of prosthesis dislocation. The prosthesis combination that reduces the risk of dislocation and the rate of revision surgery is not known. QUESTIONS/PURPOSES: In patients receiving primary THA for a femoral neck fracture, does (1) the rate of all-cause revision or (2) the reason for revision and rate of revision for dislocation differ among THA with a standard head size, large head size, dual mobility (DM), or constrained liner? (3) Is there a difference in the revision risk when patients are stratified by age at the time of surgery? METHODS: Data were analyzed f..

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