{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:40:39Z","timestamp":1777880439219,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,12,1]],"date-time":"2003-12-01T00:00:00Z","timestamp":1070236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2003,12,1]],"date-time":"2003-12-01T00:00:00Z","timestamp":1070236800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To report the outcome of displaced subcapital neck of femur fractures in the independent elderly (&gt;70 years) managed with total hip arthroplasty through a modified Hardinge approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Between 1998 and 2000, a surgeon performed a cemented hip replacement using a modified lateral approach in 35 consecutive patients in the Hawke's Bay Regional Hospital, Hastings. Medical charts and out-patient follow-up clinic records were reviewed with respect to outcomes, with particular reference to complications. Independent review of functional outcome was completed at one year postsurgery using a questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>At an average follow-up of 1.8 years (range, 1\u20133 years), no patient needed further surgery. One patient had died, giving a mortality rate at one year of 2.9%. All other medical complications were successfully treated. The overall prevalence of early medical complications was 43%. There were no dislocations, and 80% of patients had a good clinical outcome at their latest follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>The modified lateral approach of Hardinge minimises the incidence of postoperative dislocation. However, there was a high incidence of medical complications and aggressive treatment of such complications was necessary, both preoperatively and postoperatively. The number of pre-existing medical conditions was a significant factor influencing patient morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949900301100204","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"123-128","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Fractured Neck of Femur in the Mobile Independent Elderly Patient: Should We Treat with Total Hip Replacement?"],"prefix":"10.1177","volume":"11","author":[{"given":"VS","family":"Pai","sequence":"first","affiliation":[{"name":"Dunedin Hospital, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Ardern","sequence":"additional","affiliation":[{"name":"Tauranga Hospital, Tauranga, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Wilson","sequence":"additional","affiliation":[{"name":"Star Ship Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,12,1]]},"reference":[{"key":"bibr1-230949900301100204","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199405000-00018"},{"key":"bibr2-230949900301100204","first-page":"269","volume":"112","author":"Walker N","year":"1999","journal-title":"NZ Med J"},{"key":"bibr3-230949900301100204","volume-title":"48th New Zealand Orthopaedic Association Annual Scientific Meeting","author":"Scott J","year":"1999"},{"key":"bibr4-230949900301100204","volume-title":"48th New Zealand Orthopaedic Association Annual Scientific Meeting","author":"Beadel 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