{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T15:46:09Z","timestamp":1747237569566,"version":"3.37.3"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T00:00:00Z","timestamp":1719360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T00:00:00Z","timestamp":1719360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The primary aim was to assess whether a total hip arthroplasty (THA) was able to restore health-related quality of life (HRQoL) following an intracapsular hip fracture. The secondary aims were to assess changes in hip-specific function, fitness\/frailty, mortality risk, complications and revision risk, and factors independently associated with these.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective cohort study included all patients aged\u2009\u2265\u200950\u00a0years admitted with a hip fracture from the emergency department at a single centre during a 42-month period. Patient demographics, perioperative variables, complications, revision, and mortality were collected. Patient-reported outcome measures (PROMs) were assessed at final follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Among 250 identified patients, 189 (75.6%) were women with a mean age of 70.3 (range 50\u201394\u00a0years). Mean follow-up was 2.3 (SD 1.1) years. The implant and patient survival rates at 2\u00a0years were both\u00a095.5% (95% confidence intervals (CI) +\/\u2212\u20092.7). Older age (hazard ratio [HR] 1.22, 95% CI 1.12\u20131.33, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and male sex (HR 3.33, 95% CI 1.15\u201310.0, <jats:italic>p<\/jats:italic>\u2009=\u20090.026) were independently associated with mortality. There were 19 (7.6%) postoperative complications that included 6 (2.4%) periprosthetic fractures, 5 (2.0%) deep infections, and 8 (3.2%) dislocations, of which 13 underwent revision. Increasing time to theatre (HR 1.02, 95% CI 1.01\u20131.03, <jats:italic>p<\/jats:italic>\u2009=\u20090.017) was independently associated with a postoperative complication. Postoperative PROMs were available for 166\u00a0(66.4%) patients. There were significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) deteriorations in EuroQol-5D (Mean difference [MD] 0.192, 95% CI 0.133\u20130.252), Oxford hip score (MD 2.5, 95% CI 1.5\u20133.6), and fitness (Rockwood score MD 0.7, 95% CI 0.5\u20130.8) relative to preoperative levels of function.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>THA may be the treatment of choice in a physically active patient with the aim of restoring their HRQoL, hip function, and fitness, but this was not observed. Furthermore, there was a high complication rate which was associated with increasing time to theatre.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>III, retrospective cohort study.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00590-024-04034-1","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T18:14:53Z","timestamp":1719425693000},"page":"3081-3088","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Total hip arthroplasty for fractured neck of femur does not restore preoperative hip-specific function, health-related quality of life, or level of fitness"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2800-8392","authenticated-orcid":false,"given":"Lucas","family":"Ho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Ford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Gaston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8792-0659","authenticated-orcid":false,"given":"Nick D.","family":"Clement","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"issue":"1","key":"4034_CR1","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1007\/s00264-018-4132-3","volume":"43","author":"R Civinini","year":"2019","unstructured":"Civinini R, Paoli T, Cianferotti L et al (2019) Functional outcomes and mortality in geriatric and fragility hip fractures-results of an integrated, multidisciplinary model experienced by the \u201cFlorence hip fracture unit.\u201d Int Orthop 43(1):187\u2013192. https:\/\/doi.org\/10.1007\/s00264-018-4132-3","journal-title":"Int Orthop"},{"key":"4034_CR2","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.archger.2017.06.006","volume":"72","author":"R Mitchell","year":"2017","unstructured":"Mitchell R, Harvey L, Brodaty H, Draper B et al (2017) One-year mortality after hip fracture in older individuals: the effects of delirium and dementia. 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