The total costs of a displaced femoral neck fracture: comparison of internal fixation and total hip replacement View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2006-02

AUTHORS

Torsten Johansson, Margareta Bachrach-Lindström, Per Aspenberg, Dick Jonsson, Ola Wahlström

ABSTRACT

We randomised 143 patients--age 75 years or older--with displaced femoral neck fracture to either internal fixation or total hip replacement (THR) and compared the socio-economic consequences. In the internal fixation group, 34 of 78 hips underwent secondary surgery. In the THR group, 12 of 68 hips dislocated, the majority in mentally impaired patients. We calculated the total hospital costs for two years after operation. When secondary surgery was included, there was no difference in costs between the internal fixation and THR groups, or between the mentally impaired and lucid subgroups. The costs to the community were calculated comparing the baseline cost before surgery with the average cost per month during the first postoperative year. No difference was found between the treatment groups. The Harris hip scores were higher in the THR group, and pain was more common in the internal fixation group. In lucid patients, THR gives a better clinical result at the same cost. More... »

PAGES

1-6

References to SciGraph publications

  • 2000-10. Nutritional status and functional capacity after femoral neck fractures: A prospective randomized one-year follow-up study in AGING CLINICAL AND EXPERIMENTAL RESEARCH
  • 1987. Marginal and Average Cost Pricing in THE NEW PALGRAVE DICTIONARY OF ECONOMICS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00264-005-0037-z

    DOI

    http://dx.doi.org/10.1007/s00264-005-0037-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1026056528

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/16374651


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