Houston Methodist. Leading Medicine

Hip News

Hip Fracture in the Elderly: Repair or Replace?

Many older adults are faced with the problem of hip fracture. Which is better? To repair or replace the hip? Elderly patients in good physical and mental health who could still walk before the fracture are advised to choose the total hip replacement (THR).

Long-term studies in Sweden report fewer problems after THR compared to patients with a screw (internal fixation) holding the hip together. Patients with THR had less pain and could walk farther. Hips with internal fixation had 42 percent complications compared to four percent for the THR group.

There were also fewer reoperations after THR (four percent) compared to hip repair (47 percent). Most of the fractures repaired with screws had to be converted to a THR later.

Quality of life (QOL) was also measured in both groups. There was a decline in QOL for all patients. But the decline was minor in the THR group. Complications and reoperations for the internal fixation group resulted in major decreases in reported QOL.


Tina DiMarcantonio. Better Long-Term Results with THR than Internal Fixation in Elderly Results. In Orthopedics Today. March 2006. Vol. 26. No. 3. Pp. 114, 120.

04/27/2006

*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.

Our Specialties

Where Does It Hurt?

Our Locations

  Follow Us

Follow us on Facebook Follow us on YouTube
Follow us on Twitter