{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:47:08Z","timestamp":1774478828322,"version":"3.50.1"},"reference-count":25,"publisher":"Universa BV","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Introduction: Currently the recommended treatment for an undisplaced intracapsular hip fracture is internal fixation. Recent studies have questioned this practice and suggested arthroplasty may be a more appropriate treatment method.\n\nMethods: 54 patients with an undisplaced intracapsular fracture were randomised between a cemented polished tapered stem hemiarthroplasty and internal fixation with Targon hip screws. The principle outcome was regain of mobility. Secondary outcomes included degree of residual pain, mortality, secondary surgery and surgical complications. Follow-up was by a nurse blinded to the implant and continued till three years from surgery for the surviving patients.\n\nResults: No significant differences in the primary outcome of regain of mobility were noted. Arthroplasty was associated with lower degrees of residual pain. No surgical complications were encountered in the arthroplasty group. In the fixation group there was one case of later fracture around the implant requiring surgery and two cases of avascular necrosis of the femoral head. There were no notable differences in mortality, hospital stay or general medical complications between the two groups.\n\nConclusions: Arthroplasty may lead to improved outcomes compared to internal fixation in the treatment of an undisplaced intracapsular fracture in the elderly but further studies are required to confirm this.<\/jats:p>","DOI":"10.52628\/91.1.12524","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T16:43:33Z","timestamp":1755103413000},"page":"7-14","source":"Crossref","is-referenced-by-count":2,"title":["Internal fixation or hemiarthroplasty for undisplaced intracapsular hip fractures: a randomized trial"],"prefix":"10.52628","volume":"91","author":[{"given":"M.J.","family":"PARKER","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"CAWLEY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2025,5]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporosis Int 1997; 7: 407-413.","DOI":"10.1007\/pl00004148"},{"key":"ref1","unstructured":"Royal College of Physicians. National Hip Fracture Database annual report. London: RCP. 2012"},{"key":"ref2","unstructured":"The National Institute for Health and Care Excellence (NICE). The Management of Hip Fracture in Adults. National Clinical Guideline Centre. 2011. https:\/\/www.nice.org.uk\/guidance\/cg124\/evidence\/full-guidance-183081997"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Scottish Intercollegiate Guidelines Network (SIGN). Management of hip fracture in older people; a national clinical guideline. Royal College of Physicians. Edinburgh No.111(www.sign.ac.uk). 2009.","DOI":"10.1177\/1478271520023203010"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Conn KS, Parker MJ. Undisplaced intracapsular hip fracture: results of internal fixation in 375 patients. Clinical Orthopaedics 2004; 421: 249-254.","DOI":"10.1097\/01.blo.0000119459.00792.c1"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Gjertsen JE, Fevang JM, Matre K, Vinje T, Engesaeter LB. Clinical outcome after undisplaced femoral neck fractures; a prospective comparison of 14,757 undisplaced and displaced fractures reported to the Norwegian Hip Fracture Register. Acta Orthopaedica 2010; 82: 268-274.","DOI":"10.3109\/17453674.2011.588857"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Overmann AL, Richards JT, O\u2019Hara NN, D\u2019alleyrand JC, Slobogean GP. Outcomes of elderly patients with nondisplaced or minimally displaced femoral neck fractures treated by internal fixation; A systematic review and meta-analysis. Injury 2019; 50: 2158-2166.","DOI":"10.1016\/j.injury.2019.09.039"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Onativia I, Slulittel PAI, Dilernia FD et al. Outcomes of non-displaced intracapsular femoral neck fractures with internal fixation in elderly patients: a systematic review. Hip International 2018; 28: 18-28.","DOI":"10.5301\/hipint.5000532"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Parker MJ, Gurusamy KS, Azegami S. Arthroplasties (with and without bone cement) for proximal femoral fractures in adults. Cochrane Database of Systematic Reviews Issue 6. Art. No.:CD001706. DOI: 10.1002\/14651858.CD001706.pub4. 2010.","DOI":"10.1002\/14651858.cd001706.pub2"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Parker MJ, Raghavan R, Gurusamy K. Incidence of fracture- healing complications after femoral neck fractures. Clinical Orthopaedics 2007; 458: 175-179.","DOI":"10.1097\/blo.0b013e3180325a42"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Dolatowski FC, Frihagen F, Bartels S, Opland V, Benth JS, Talsnes O, Hoelsbekken SE, Utvag SE. Screw fixation versus hemiarthroplasty for nondisplaced femoral neck fractures in elderly patients: a randomized trial. J Bone J Surg 2019; 101: 136-144.","DOI":"10.2106\/jbjs.18.00316"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Lu Q, Tang G, Zhao X, Guo S, Cai B, Li Q. Hemiarthroplasty versus internal fixation in super-aged patients with undisplaced femoral neck fractures: a 5-year follow-up of randomized controlled trial. Arch Orthop Trauma Surg 2017; 137: 27-35.","DOI":"10.1007\/s00402-016-2591-9"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Garden RS. Stability and union in subcapital fractures of the femur. J Bone Joint Surg 1964; 46-B: 630-647.","DOI":"10.1302\/0301-620x.46b4.630"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Qureshi KN, Hodkinson HM. Evaluation of a ten-question mental test in the institutionalised elderly. 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