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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2025; 16(12): 109985
Published online Dec 18, 2025. doi: 10.5312/wjo.v16.i12.109985
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, 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
Revised: June 29, 2025
Accepted: November 4, 2025
Published online: December 18, 2025
Processing time: 203 Days and 13.3 Hours
Core Tip
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.