{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T23:20:55Z","timestamp":1788823255230,"version":"build-2803163510"},"reference-count":29,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T00:00:00Z","timestamp":1459468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>The optimal management of intracapsular fractures of the femoral neck in independently mobile patients remains open to debate. Successful fixation obviates the limitations of arthroplasty for this group of patients. However, with fixation failure rates as high as 30%, the outcome of revision surgery to salvage total hip arthroplasty (THA) must be considered. We carried out a systematic review to compare the outcomes of salvage THA and primary THA for intracapsular fractures of the femoral neck.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>We performed a Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) compliant systematic review, using the PubMed, EMBASE and Cochrane libraries databases. A meta-analysis was performed where possible, and a narrative synthesis when a meta-analysis was not possible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our analyses revealed a significantly increased risk of complications including deep infection, early dislocation and peri-prosthetic fracture with salvage THA when compared with primary THA for an intracapsular fracture of the femoral neck (overall risk ratio of 3.15). Functional outcomes assessment using EuroQoL (EQ)-5D were not significantly different (p\u00a0=\u00a00.3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Salvage THA carries a significantly higher risk of complications than primary THA for intracapsular fractured neck of femur. Current literature is still lacking well designed studies to provide a full answer to the question. Take home message: Salvage THA is associated with more complications than primary THA for intracapsular neck of femur fractures. Cite this article: Bone Joint J 2016;98-B:452\u201360.<\/jats:p><\/jats:sec>","DOI":"10.1302\/0301-620x.98b4.36922","type":"journal-article","created":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T14:07:59Z","timestamp":1459519679000},"page":"452-460","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":78,"title":["Outcomes of total hip arthroplasty, as a salvage procedure, following failed internal fixation of intracapsular fractures of the femoral neck"],"prefix":"10.1302","volume":"98-B","author":[{"given":"S. S. S.","family":"Mahmoud","sequence":"first","affiliation":[{"name":"Health Education North East South Tees NHS Foundation Trust, Marton Road, Middlesbrough, TS4 3BW, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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B.","family":"Hing","sequence":"additional","affiliation":[{"name":"St George\u2019s University Hospitals NHS Foundation Trust, Blackshaw Road, Tooting, SW17 0QT, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","unstructured":"No authors listed.National Hip Fracture Database National report 2014. http:\/\/www.nhfd.co.uk\/2014report (last day accessed 03November 2015)."},{"key":"r2","unstructured":"No authors listed.National Hip Fracture Database National report 2013. http:\/\/www.nhfd.co.uk\/2013 report (date last accessed 03 November 2015)."},{"key":"r3","unstructured":"No authors listed.The management of hip fracture in adults. http:\/\/pathways.nice.org.uk\/pathways\/hip-fracture#path=view%3A\/pathways\/hip-fracture\/hip-fracture-overview.xml& content=view-index (last accessed 17 February 2016)."},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1080\/17453670610013493"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01081"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318219c171"},{"key":"r8","unstructured":"No authors listed.CASP Tools. http:\/\/www.casp-uk.net\/ (date last accessed 9 November 2015)."},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B4.647"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200211000-00016"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1080\/17453670610012728"},{"key":"r12","first-page":"291","volume":"40","author":"Ozt\u00fcrkmen Y","year":"2006","journal-title":"Acta Orthop Traumatol Turc"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B5.2211756"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.08.013"},{"key":"r15","first-page":"257","volume":"24","author":"Zhang X","year":"2010","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/0883-5403(94)90046-9"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.04.003"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B5.2584246"},{"key":"r19","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/00003086-199108000-00006","volume":"269","author":"Mehlhoff T","year":"1991","journal-title":"Clin Orthop Relat Res"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90204-8"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1963.03060120024016"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195436030-00001"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(96)00822-6"},{"key":"r25","doi-asserted-by":"publisher","DOI":"10.1136\/jech.34.4.281"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.54B1.61"},{"key":"r27","volume":"515197","author":"Broderick JM","year":"2013","journal-title":"Scientific World Journal"},{"key":"r28","unstructured":"Briggs TWRGetting it right first time. http:\/\/www.gettingitrightfirsttime.com\/downloads\/briggsreporta4_fin.pdf. 2013. (date last accessed 03 November 2015)."},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181761490"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.98B4.36922","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.98B4.36922","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.98B4.36922","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T22:07:46Z","timestamp":1655417266000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.98B4.36922"}},"subtitle":["a systematic review and meta-analysis"],"short-title":[],"issued":{"date-parts":[[2016,4]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1302\/0301-620X.98B4.36922"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.98b4.36922","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4]]},"assertion":[{"value":"2015-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-10-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}