{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:19:32Z","timestamp":1788441572126,"version":"build-2803163510"},"reference-count":26,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ActaO"],"abstract":"<jats:p>Background and purpose:\u00a0Optimal treatment for displaced femoral neck fractures (FNF) in patients aged 60\u201369 years remains controversial. We aimed to compare mortality and short-term clinical outcomes after total hip arthroplasty (THA), hemiarthroplasty (HA), or internal fixation (IF) after displaced FNF.Methods:\u00a0We included 3,325 patients aged 60\u201369 years with displaced FNF recorded in the Swedish Hip Fracture Register. 1-year mortality and 4-month functional outcomes (maintenance of independent living and outdoor walking ability) were analyzed. Analyses were stratified by American Society of Anesthesiologists (ASA) class (I\u2013II vs III\u2013IV).Results:\u00a0Overall, 1-year mortality was 8.3%. Adjusted analyses showed higher 1-year mortality after HA (odds ratio [OR] 2.5, 95% confidence interval [CI] 1.7\u20133.6) and IF (OR 2.3, CI 1.6\u20133.3) compared with THA. Survival analyses demonstrated lower survival probabilities after HA and IF compared with THA in ASA III\u2013IV but not in ASA I\u2013II patients. THA was associated with higher odds of maintaining independent living (IF: OR 0.40, CI 0.20\u20130.86; HA: OR 0.09, CI 0.04\u20130.17) and maintaining outdoor walking ability (IF: OR 0.35, CI 0.24\u20130.50; HA: OR 0.26, CI 0.16\u20130.43) in ASA I\u2013II patients. In ASA III\u2013IV patients, estimates were closer to unity.Conclusion:\u00a0THA was associated with lower mortality in ASA III\u2013IV and better functional outcomes in ASA I\u2013II.<\/jats:p>","DOI":"10.2340\/17453674.2026.46368","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:01:32Z","timestamp":1788440492000},"source":"Crossref","is-referenced-by-count":0,"title":["Association of treatment method with mortality and functional outcome in patients with displaced femoral neck fracture: a cohort study of 60\u201369-year-old patients from the Swedish Hip Fracture Register"],"prefix":"10.2340","volume":"97","author":[{"given":"Pierre","family":"Campenfeldt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9258-3156","authenticated-orcid":false,"given":"Margareta","family":"Hedstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olle","family":"Olofsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5151-4867","authenticated-orcid":false,"given":"Karin","family":"Modig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amer","family":"Al-Ani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"167290","doi-asserted-by":"crossref","unstructured":"Blomfeldt R, T\u00f6rnkvist H, Ponzer S, S\u00f6derqvist A, Tidermark J. Comparison of internal fixation with total hip replacement for displaced femoral neck fractures: randomized, controlled trial performed at four years. J Bone Joint Surg Am 2005; 87(8): 1680-8. doi: 10.2106\/JBJS.D.02655.","DOI":"10.2106\/00004623-200508000-00003"},{"key":"167291","doi-asserted-by":"crossref","unstructured":"Leonardsson O, Sernbo I, Carlsson A, \u00c5kesson K, Rogmark C. Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures: results at ten years in a randomised study of 450 patients. J Bone Joint Surg Br 2010; 92(3): 406-12. doi: 10.1302\/0301-620X.92B3.23036.","DOI":"10.1302\/0301-620X.92B3.23036"},{"key":"167292","doi-asserted-by":"crossref","unstructured":"Parker M J, Pryor G, Gurusamy K. Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures: long-term follow-up of a randomised trial. 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