At a minimum 15-year follow-up, researchers of this study discovered a lower failure rate among lucid patients with a displaced femoral neck fracture who were treated with cemented total hip arthroplasty rather than closed reduction and internal fixation using two screws.
“The present report shows that many patients live long after surgery, and it may be difficult to select different treatment methods on the basis of factors such as age and mental impairment,” Torsten Johansson, MD, PhD, wrote in the study. “The absence of long-term complications after total hip arthroplasty strengthens the conclusion that total hip arthroplasty is superior to internal fixation in the treatment of a displaced femoral neck fracture.”
