{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T01:40:47Z","timestamp":1781314847741,"version":"3.54.1"},"reference-count":32,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p> United Kingdom National Institute for Health and Clinical Excellence guidelines recommend the use of total hip replacement (THR) for displaced intracapsular fractures of the femoral neck in cognitively intact patients, who were independently mobile prior to the injury. This study aimed to analyse the risk factors associated with revision of the implant and mortality following THR, and to quantify risk. National Joint Registry data recording a THR performed for acute fracture of the femoral neck between 2003 and 2010 were analysed. Cox proportional hazards models were used to investigate the extent to which risk of revision was related to specific covariates. Multivariable logistic regression was used to analyse factors affecting peri-operative mortality (&lt; 90 days). A total of 4323 procedures were studied. There were 80 patients who had undergone revision surgery at the time of censoring (five-year revision rate 3.25%, 95% confidence interval 2.44 to 4.07) and 137 patients (3.2%) patients died within 90 days. After adjusting for patient and surgeon characteristics, an increased risk of revision was associated with the use of cementless prostheses compared with cemented (hazard ratio (HR) 1.33, p = 0.021). Revision was independent of bearing surface and head size. The risk of mortality within 90\u00a0days was significantly increased with higher American Society of Anesthesiologists (ASA) grade (grade 3: odds ratio (OR) 4.04, p &lt; 0.001; grade 4\/5: OR 20.26, p &lt; 0.001; both compared with grades 1\/2) and older age (\u2265 75 years: OR 1.65, p = 0.025), but reduced over the study period (9% relative risk reduction per year). <\/jats:p><jats:p> THR is a good option in patients aged &lt; 75 years and with ASA 1\/2. Cementation of the femoral component does not adversely affect peri-operative mortality but improves survival of the implant in the mid-term when compared with cementless femoral components. There are no benefits of using head sizes &gt; 28 mm or bearings other than metal-on-polyethylene. More research is required to determine the benefits of THR over hemiarthroplasty in older patients and those with ASA grades &gt; 2. <\/jats:p>","DOI":"10.1302\/0301-620x.94b11.29689","type":"journal-article","created":{"date-parts":[[2012,10,29]],"date-time":"2012-10-29T14:19:30Z","timestamp":1351520370000},"page":"1557-1566","source":"Crossref","is-referenced-by-count":30,"title":["Patient and implant survival following 4323\u00a0total hip replacements for acute femoral neck fracture"],"prefix":"10.1302","volume":"94-B","author":[{"given":"S. S.","family":"Jameson","sequence":"first","affiliation":[{"name":"The National Joint Registry for England\rand Wales, The NJR Centre, Peoplebuilding\rEstate, Maylands Avenue, Hemel\rHempstead HP2 4NW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kyle","sequence":"additional","affiliation":[{"name":"The James Cook University Hospital , Marton\rRoad, Middlesbrough, TS4\r3BW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. N.","family":"Baker","sequence":"additional","affiliation":[{"name":"The National Joint Registry for England\rand Wales, The NJR Centre, Peoplebuilding\rEstate, Maylands Avenue, Hemel\rHempstead HP2 4NW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Mason","sequence":"additional","affiliation":[{"name":"School of Medicine and Health, Durham\rUniversity, Queen's Campus, University\rBoulevard, Stockton-on-Tees TS17 6BH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. J.","family":"Deehan","sequence":"additional","affiliation":[{"name":"Newcastle Hospitals NHS Foundation Trust, Freeman\rRoad, High Heaton, Newcastle\rupon Tyne NE7 7DN, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. A.","family":"McMurtry","sequence":"additional","affiliation":[{"name":"The James Cook University Hospital, Marton\rRoad, Middlesbrough, TS4\r3BW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. R.","family":"Reed","sequence":"additional","affiliation":[{"name":"Northumbria Healthcare NHS Foundation\rTrust, Woodhorn Lane, Ashington, Northumberland\rNE63 9JJ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200309000-00004"},{"key":"r2","first-page":"CD001708","volume":"4","author":"Parker MJ","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"r3","first-page":"CD001706","volume":"3","author":"Parker MJ","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B4.3403615"},{"key":"r5","unstructured":"No authors listed. National Institute for Heath and Clinical Excellence: the management of hip fracture in adults, 2011 (CG124). http:\/\/guidance.nice.org.uk\/CG124 (date last accessed 13 August 2012)."},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c2332"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B8.27132"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00215"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1080\/17453670610046262"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B3.23036"},{"key":"r11","unstructured":"No authors listed. National Joint Registry (NJR) website. http:\/\/www.njrcentre.org.uk\/njrcentre\/default.aspx (date last accessed 15 August 2012)."},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1308\/003588412X13171221589720"},{"key":"r13","first-page":"111","volume":"24","year":"1963","journal-title":"Anesthesiology"},{"key":"r14","unstructured":"No authors listed. The National Hip Fracture Database National Report 2011. http:\/\/www.nhfd.co.uk\/003\/hipfractureR.nsf\/NHFDNationalReport2011_Final.pdf (date last accessed 13 August 2012)."},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01184"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60353-5"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2011.588863"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2011.588862"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00474"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200102000-00027"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-005-0037-z"},{"key":"r22","unstructured":"No authors listed. National Joint Registry for England and Wales: 8th annual report, 2011. http:\/\/www.njrcentre.org.uk (date last accessed 13 August 2012)."},{"key":"r23","unstructured":"Garellick G, K\u00e4rrholm J, Rogmark C, Herberts P. Swedish Hip Arthroplasty Register: annual report, 2008. http:\/\/www.secca.es\/registros\/AnnualReport-2008-eng.pdf (date last accessed 13 August 2012)."},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B5.22224"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B3.13609"},{"key":"r26","first-page":"1680","volume":"87","author":"Blomfeldt R","year":"2005","journal-title":"J Bone Joint Surg [Am]"},{"key":"r27","unstructured":"Graves S, Davidson D, de Steigher R, et al. Australian Orthopaedic Assosciation. National Joint Replacement Registry: Annual Report 2011. http:\/\/www.dmac.adelaide.edu.au\/aoanjrr\/documents\/AnnualReports2011\/AnnualReport_2011_WebVersion.pdf (date last accessed 13 August 2012)."},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B10.26690"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7369.868"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1462"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.12.008"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B10.24899"}],"container-title":["The Journal of Bone and Joint Surgery. 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