Medium-term patient-reported outcomes after total hip replacement for displaced hip fractures.
INTRODUCTION
The aim of the present study was to define the medium-term outcomes following total hip replacement (THR) for hip fracture.


METHODS
We prospectively followed up 92 patients who underwent THR for a displaced hip fracture over a 3-year period between 2007 and 2010. These patients were followed up at 5 years using the Oxford Hip Score, Short-Form 12 (SF-12) questionnaire and satisfaction questionnaire. These outcomes were compared to the short-term outcomes previously reported at 2 years to determine any significant differences.


RESULTS
Mean follow-up was at 5.4 years with a mean age at follow-up of 76.5 years. Seventy-four patients (80%) responded. Patients reported excellent functional outcomes and satisfaction (mean Oxford Hip Score 40.3; SF-12 Physical Health Composite Score 44.0; SF-12 Mental Health Composite Score 46.2; mean satisfaction 90%). The rates of dislocation (2%), deep infection (2%) and revision (3%) were comparable to those quoted for elective THR. When compared with 2-year follow-up, there were no statistically significant adverse changes in outcome parameters.


CONCLUSIONS
Medium-term outcomes for THR after hip fracture in fit older patients are excellent, and these results demonstrate that the early proven benefits of this surgery are sustained into the midterm.
['Middleton|Scott D|SD|http://orcid.org/0000-0002-2808-4459', 'McNiven|Neil|N|', 'Anakwe|Raymond E|RE|', 'Jenkins|Paul J|PJ|', 'Aitken|Stuart A|SA|', 'Keating|John F|JF|', 'Moran|Matthew|M|']
D000203:Activities of Daily Living D000368:Aged D000369:Aged, 80 and over D019644:Arthroplasty, Replacement, Hip D005260:Female D006617:Hip Dislocation D006620:Hip Fractures D006622:Hip Prosthesis D006801:Humans D008297:Male D008875:Middle Aged D000071066:Patient Reported Outcome Measures D017060:Patient Satisfaction D011446:Prospective Studies D016459:Prosthesis-Related Infections D012086:Reoperation D011795:Surveys and Questionnaires D016896:Treatment Outcome
Total hip replacement Hip THR THA Total hip arthroplasty Trauma hips