ArticlePloS one2025
Internal fixation versus total hip arthroplasty for displaced femoral neck fractures in patients aged 60 to 80 years: Patient-reported outcomes and complications.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative efficacy and safety of three internal fixation strategies for femoral neck fractures: a network meta-analysis.Frontiers in medicine · 2026Pooled it
- ChatGPT in Orthopedic Trauma: Consistency, Accuracy, and Agreement With Textbook and Expert Opinion.Cureus · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment of displaced femoral neck fractures in patients aged 60-80 years old remains controversial. Arthroplasty has been reported to have lower complication rates than internal fixation (IF). However, less is known about the outcomes as perceived by the patient. The aim of the present study (the cross-sectional study) was to evaluate the patient-reported outcome measures (PROMs) of patients aged 60-80 years old with femoral neck fractures treated with IF or total hip arthroplasty (THA).
methodsWe investigated 92 patients affected by displaced femoral neck fractures who were treated between January 2015 and September 2022. Forty-eight patients were treated with IF, and 44 patients with THA. The outcomes were Harris Hip Score (HHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire (JHEQ), visual analogue scale (VAS) for pain, and VAS for patient satisfaction at 12 months postoperatively. Complications and reoperations were continuously monitored.
resultsThe mean patient age was 68.1 ± 6.6 years. HHS, all dimensions of the HOOS and JHEQ scores, VAS for pain, and VAS for patient satisfaction at 12 months were significantly superior in the THA group compared to the IF group. All outcome measures were superior in the THA group, with mean differences exceeding their respective minimal clinically important differences or minimal detectable changes at 12 months. The rate of major reoperations was significantly higher in the IF group (14.5%) than the THA group (2.2%).
conclusionWe found that patients aged 60-80 years old who underwent THA for displaced femoral neck fractures experienced better outcomes, including PROMs, than those who underwent IF. Furthermore, THA resulted in fewer reoperations than IF.
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