Hip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients

Table 1 Published data concerning hip resection arthroplasty as a definitive treatment for femoral neck fracture in elderly

Ref.	Design	Cases	Mean age	Mean CCI	Follow-up (years)	Outcomes	Surgical approach	Mean surgical time (minutes)	Complications (HA only)	Results	Conclusions
Steelman et al[18], 2022	Retrospective case series with comparison group	6 RA	NA	NA	1	(1) Post- vs preoperative pain scores; (2) Operative time; and (3) Function	RA: Standard anterior	RA: 59.2	1 infection (revision)	RA: Decreased VAS pain scores (7.7 vs 3.3) and operative time, immediate return to baseline function	RA: Acceptabletreatment in the non-ambulator
		10 HA					HA: Anterolateral or posterior	HA: 111.8
Bellova et al[19], 2024	Retrospective matched cohort study	21 RA	RA 79	7.1	1.5	(1) Survival; and (2) Function	Direct lateral	RA: 42	1 recurrent dislocation (revision), 1 greater trochanter fracture	RA: Mortality 71%, bedridden 82%	RA: Higher short-term mortality and poorer functional results
		42 HA	HA 81					HA: 84		HA: Mortality 49%, bedridden 19%

RA: Resection arthroplasty; HA: Hemiarthroplasty; CCI: Charlson comorbidity index; VAS: Visual Analogue Scale; NA: Not available.