Evidence map›Paper›PMID 42690129›Full record

ArticleActa orthopaedica2026

Association of treatment method with mortality and functional outcome in patients with displaced femoral neck fracture: a cohort study of 60-69-year-old patients from the Swedish Hip Fracture Register.

Pierre Campenfeldt, Margareta Hedström, Olle Olofsson, Karin Modig, Amer Al-Ani

Abstract readComparative Study
In one paragraph

Article in Acta orthopaedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pierre CampenfeldtDepartment of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden. pierre.campenfeldt@ki.se.
Margareta HedströmDepartment of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm; Trauma and Reparative Medicine Theme (TRM), Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-9258-3156
Olle OlofssonSundsvall Hospital, Sundsvall.
Karin ModigInstitute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-5151-4867
Amer Al-AniArtroFotkliniken AB, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeOptimal treatment for displaced femoral neck fractures (FNF) in patients aged 60-69 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.

methodsWe included 3,325 patients aged 60-69 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-II vs III-IV).

resultsOverall, 1-year mortality was 8.3%. Adjusted analyses showed higher 1-year mortality after HA (odds ratio [OR] 2.5, 95% confidence interval [CI] 1.7-3.6) and IF (OR 2.3, CI 1.6-3.3) compared with THA. Survival analyses demonstrated lower survival probabilities after HA and IF compared with THA in ASA III-IV but not in ASA I-II patients. THA was associated with higher odds of maintaining independent living (IF: OR 0.40, CI 0.20-0.86; HA: OR 0.09, CI 0.04-0.17) and maintaining outdoor walking ability (IF: OR 0.35, CI 0.24-0.50; HA: OR 0.26, CI 0.16-0.43) in ASA I-II patients. In ASA III-IV patients, estimates were closer to unity.

conclusionTHA was associated with lower mortality in ASA III-IV and better functional outcomes in ASA I-II.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesFracture Fixation, InternalHemiarthroplastyAgedCohort StudiesFemaleHumansMaleMiddle AgedProximal Femoral FracturesRecovery of FunctionRegistriesSwedenTreatment OutcomeWalking

Identifiers

PMID42690129
PMCPMC13543153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.