The study focused on the need for a secondary hip procedure (reintervention) within 24 months, with additional analyses examining rates of serious adverse events, hip-related complications, death, and health-related quality of life and function. All patients were 50 years old or older with a low-energy displaced fracture of the femoral neck and had been able to ambulate without assistance before the fracture. This editorial comments on the HEALTH trial, an expertise-based randomized, controlled trial involving 1,495 patients (718 THA and 723 HHA) patients with a displaced femoral neck hip fracture ( 2). Other countries have not established such explicit formal guidelines, but extensive research has been done to look at rates of serious adverse events, rates of complications, mortality, and patient functional scores after undergoing one of these two procedures. While there is controversy and debate between the use of THA or HHA, the United Kingdom has developed clinical guidelines from their National Institute for Health and Care Excellence (NICE) that recommend THA over HHA in patients with a displaced intracapsular hip fracture who were able to walk independently out of doors with no more than the use of a stick, were not cognitively impaired, and were medically fit for anesthesia and the surgical procedure ( 1). The authors of this editorial read with great interest the recent New England Journal of Medicine publication on the Hip Fracture Evaluation with Alternatives of Total Hip Arthroplasty versus Hemi-Arthroplasty (HEALTH) trial. Considering that hip fractures are a major cause of death, disability, and high health-care expenses throughout the world, research into ideal treatment selection has the potential for global impact. Many studies have been conducted to identify the preferred method of surgical intervention in the treatment of intracapsular hip fracture, specifically between the techniques of total hip arthroplasty (THA) and hip hemiarthroplasty (HHA). Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture. Yu Zhang (Department of Sport Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, China).Ĭomment on: HEALTH Investigators, Bhandari M, Einhorn TA, et al. Email: This is an invited article commissioned by the Section Editor Dr. Department of Orthopaedic Surgery, Orthopaedic and Rheumatology Institute, Cleveland Clinic, 9500 Euclid Ave, A41, Cleveland, OH 44195, USA.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |