Regis D, Sartore E, Scomazzon E, Borgese R, Magnan B, Samaila EM. Hip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients. World J Orthop 2025; 16(12): 109985 [DOI: 10.5312/wjo.v16.i12.109985]
Corresponding Author of This Article
Dario Regis, MD, Adjunct Professor, Department of Orthopaedic and Trauma Surgery, Integrated University Hospital, Piazzale Aristide Stefani 1, Verona 37126, Veneto, Italy. regisdario@siot.it
Research Domain of This Article
Orthopedics
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Dec 18, 2025 (publication date) through Dec 17, 2025
Times Cited of This Article
Times Cited (0)
Journal Information of This Article
Publication Name
World Journal of Orthopedics
ISSN
2218-5836
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Regis D, Sartore E, Scomazzon E, Borgese R, Magnan B, Samaila EM. Hip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients. World J Orthop 2025; 16(12): 109985 [DOI: 10.5312/wjo.v16.i12.109985]
World J Orthop. Dec 18, 2025; 16(12): 109985 Published online Dec 18, 2025. doi: 10.5312/wjo.v16.i12.109985
Hip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients
Dario Regis, Elisa Sartore, Edoardo Scomazzon, Romolo Borgese, Bruno Magnan, Elena M Samaila
Dario Regis, Elisa Sartore, Edoardo Scomazzon, Romolo Borgese, Bruno Magnan, Elena M Samaila, Department of Orthopaedic and Trauma Surgery, Integrated University Hospital, Verona 37126, Veneto, Italy
Author contributions: Regis D, Sartore E, Scomazzon E, and Borgese R designed the study and wrote the article; Magnan B provided final approval of the version of the article to be published; Samaila EM made critical revisions; and all authors thoroughly reviewed and endorsed the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dario Regis, MD, Adjunct Professor, Department of Orthopaedic and Trauma Surgery, Integrated University Hospital, Piazzale Aristide Stefani 1, Verona 37126, Veneto, Italy. regisdario@siot.it
Received: May 28, 2025 Revised: June 29, 2025 Accepted: November 4, 2025 Published online: December 18, 2025 Processing time: 203 Days and 13.3 Hours
Abstract
Due to the increasing ageing population, femoral neck fracture (FNF) is a common and significant public health issue in the elderly, as it significantly impacts patients’ quality of life, frequently leading to severe disability. Undoubtedly, hip replacement is the standard current of care for displaced FNF in this population, as it can provide pain relief and allow immediate return to mobility. However, hip arthroplasty may present severe specific complications, such as implant dislocation and infection, which may increase mortality and morbidity, especially in more frail patients. Therefore, in this particular population, alternative treatments should be considered. Girdlestone resection arthroplasty, which includes excision of the femoral head, is a salvage procedure which was first described for the management of chronic tuberculous coxitis, and then widely used in uncontrolled infected hip replacements. This article provides an updated outcome analysis of hip resection arthroplasty as a primary definitive treatment for FNF in frail non-ambulatory patients.
Core Tip: Femoral neck fracture (FNF) is actually the most critical traumatic event in the elderly, because of the epidemic incidence and the high rate of mortality. Hip arthroplasty is the gold standard treatment for displaced FNFs, allowing early postoperative mobility, but severe complications may occur, increasing mortality and morbidity. Therefore, in most frail patients, alternative surgical options should be considered. Girdlestone resection arthroplasty is a salvage procedure which is currently used in various hip disorders. This article provides an updated analysis of outcomes of hip resection arthroplasty as a primary definitive treatment for acute FNF in frail non-ambulatory patients.
