Arthroplasty Management of Hip Fractures: Hemiarthroplasty Versus Total Hip Arthroplasty—Results and Complications


The choice between total hip arthroplasty (THA) and hemiarthroplasty for the treatment of femoral neck fracture remains a controversial issue in orthopaedic surgery. The recent scientific literature and registry data indicate that THA is associated with improved clinical outcomes, but at the cost of a higher dislocation rate. The same data provide conflicting results regarding implant survivorship; therefore, both treatments can be appropriate and treatment algorithms have been developed to simplify the choice and optimize the results of THA and hemiarthroplasty in the treatment of femoral neck fractures.

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