Abstract
Objectives:The FAITH trial evaluated effects of sliding hip screws versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of AIDS, and investigated factors associated with living and walking independently 12 months after fracture.Methods:We conducted a descriptive analysis to quantify patients' changes in living status, use of AIDS, and used multivariable Cox regression analyses to determine factors associated with living and walking independently after fracture.Results:Of patients who lived independently before hip fracture, 3.07% (50-80 years old) and 19.81% (>80 years old) were institutionalized 12 months after injury. Of patients who were walking independently before injury, 33.62% (50-80 years old) and 69.34% (>80 years old) required a walking aid 12 months after injury. Factors associated with higher chances of living independently included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, not using a walking aid before fracture, being a nonsmoker or former smoker, and having an acceptable quality of implant placement. Factors associated with higher chances of walking without an aid included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, living independently before fracture, being a nonsmoker or former smoker, having an undisplaced fracture, and not requiring revision surgery.Conclusions:Femoral neck fracture patients suffer great losses of independence. Identifying factors associated with living and walking independently after hip fracture may help surgeons better identify which patients are at risk and optimize care of patients with this injury.Level of Evidence:Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
| Original language | English |
|---|---|
| Pages (from-to) | 292-300 |
| Number of pages | 9 |
| Journal | Journal of Orthopaedic Trauma |
| Volume | 33 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2019 |
Keywords
- femoral neck fractures
- cancellous screws
- sliding hip screws
- patient autonomy
- fragility fracture
- mobility
- activities of daily living
- functional recovery
- aged
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In: Journal of Orthopaedic Trauma, Vol. 33, No. 6, 06.2019, p. 292-300.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Loss of Independence After Operative Management of Femoral Neck Fractures
AU - Schemitsch, Emil H.
AU - Sprague, S.
AU - Heetveld, M. J.
AU - Bzovsky, Sofia
AU - Heels-Ansdell, Diane
AU - Zhou, Qi
AU - Swiontkowski, M.
AU - Bhandari, Mohit
AU - Bhandari, M.
AU - Swiontkowski, M.
AU - Devereaux, P. J.
AU - Guyatt, Gordon
AU - Heetveld, M. J.
AU - Jeray, Kyle
AU - Liew, Susan
AU - Richardson, Martin
AU - Schemitsch, E. H.
AU - Thabane, Lehana
AU - Tornetta, Paul, III
AU - Walter, Stephen D.
AU - Sprague, S.
AU - McKay, Paula
AU - Scott, Taryn
AU - Garibaldi, Alisha
AU - Viveiros, Helena
AU - Swinton, Marilyn
AU - Gichuru, Mark
AU - Bzovsky, S.
AU - Heels-Ansdell, D.
AU - Zhou, Q.
AU - Buckingham, Lisa
AU - Duraikannan, Aravin
AU - Maddock, Deborah
AU - Simunovic, Nicole
AU - Agel, Julie
AU - Van Lieshout, Esther M. M.
AU - Zielinski, Stephanie M.
AU - Rangan, Amar
AU - Hanusch, Birgit C.
AU - Kottam, Lucksy
AU - Clarkson, Rachel
AU - Della Rocca, Gregory J.
AU - Haverlag, Robert
AU - Slobogean, Gerard P.
AU - McCormack, Robert
AU - Apostle, Kelly
AU - Boyer, Dory
AU - Moola, Farhad
AU - Perey, Bertrand
AU - Stone, Trevor
AU - Viskontas, Darius
AU - Lemke, H. Michael
AU - Zomar, Mauri
AU - Moon, Karyn
AU - Moon, Raely
AU - Oatt, Amber
AU - Buckley, Richard E.
AU - Duffy, Paul
AU - Korley, Robert
AU - Puloski, Shannon
AU - Powell, James
AU - Johnston, Kelly
AU - Carcary, Kimberly
AU - Lorenzo, Melissa
AU - McKercher, Ross
AU - Sanders, David
AU - MacLeod, Mark
AU - Lawendy, Abdel-Rahman
AU - Tieszer, Christina
AU - Stephen, David
AU - Kreder, Hans
AU - Jenkinson, Richard
AU - Nousiainen, Markku
AU - Axelrod, Teny
AU - Murnaghan, John
AU - Nam, Diane
AU - Wadey, Veronica
AU - Yee, Albert
AU - Milner, Katrine
AU - Kunz, Monica
AU - Ghent, Wesley
AU - McKee, Michael D.
AU - Hall, Jeremy A.
AU - Nauth, Aaron
AU - Ahn, Henry
AU - Whelan, Daniel B.
AU - Vicente, Milena R.
AU - Wild, Lisa M.
AU - Khan, Ryan M.
AU - Hidy, Jennifer T.
AU - Coles, Chad
AU - Leighton, Ross
AU - Biddulph, Michael
AU - Johnston, David
AU - Glazebrook, Mark
AU - Alexander, David
AU - Coady, Catherine
AU - Dunbar, Michael
AU - Amirault, J. David
AU - Gross, Michael
AU - Oxner, William
AU - Reardon, Gerald
AU - Richardson, C. Glen
AU - Trenholm, J. Andrew
AU - Wong, Ivan
AU - Trask, Kelly
AU - MacDonald, Shelley
AU - Dobbin, Gwendolyn
AU - Bicknell, Ryan
AU - Yach, Jeff
AU - Bardana, Davide
AU - Wood, Gavin
AU - Harrison, Mark
AU - Yen, David
AU - Lambert, Sue
AU - Howells, Fiona
AU - Ward, Angela
AU - Zalzal, Paul
AU - Brien, Heather
AU - Naumetz, V
AU - Weening, Brad
AU - Wai, Eugene K.
AU - Papp, Steve
AU - Gofton, Wade T.
AU - Liew, Allen
AU - Kingwell, Stephen P.
AU - Johnson, Garth
AU - O'Neil, Joseph
AU - Roffey, Darren M.
AU - Borsella, Vivian
AU - Avram, Victoria
AU - Oliver, Todd M.
AU - Jones, Vicki
AU - Vogt, Michelle
AU - Jones, Clifford B.
AU - Ringler, James R.
AU - Endres, Terrence J.
AU - Sietsema, Debra L.
AU - Walker, Jane E.
AU - Jeray, Kyle J.
AU - Broderick, J. Scott
AU - Goetz, David R.
AU - Pace, Thomas B.
AU - Schaller, Thomas M.
AU - Porter, Scott E.
AU - Beckish, Michael L.
AU - Adams, John D.
AU - Barden, Benjamin B.
AU - Creek, Aaron T.
AU - Finley, Stephen H.
AU - Foret, Jonathan L.
AU - Gudger, Garland K., Jr.
AU - Gurich, Richard W., Jr.
AU - Hill, Austin D.
AU - Hollenbeck, Steven M.
AU - Jackson, Lyle T.
AU - Kruse, Kevin K., III
AU - Lackey, Wesley G.
AU - Langan, Justin W.
AU - Lee, Julia
AU - Leffler, Lauren C.
AU - Miller, Timothy J.
AU - Murphy, R. Lee, Jr.
AU - O'Malley, Lawrence K., II
AU - Peters, Melissa E.
AU - Price, Dustin M.
AU - Tanksley, John A., Jr.
AU - Torres, Erick T.
AU - Watson, Dylan J.
AU - Watson, Scott T.
AU - Tanner, Stephanie L.
AU - Snider, Rebecca G.
AU - Nastoff, Lauren A.
AU - Bielby, Shea A.
AU - Teasdall, Robert J.
AU - Switzer, Julie A.
AU - Cole, Peter A.
AU - Anderson, Sarah A.
AU - Lafferty, Paul M.
AU - Li, Mengnai
AU - Ly, Thuan, V
AU - Marston, Scott B.
AU - Foley, Amy L.
AU - Vang, Sandy
AU - Wright, David M.
AU - Marcantonio, Andrew J.
AU - Kain, Michael S. H.
AU - Iorio, Richard
AU - Specht, Lawrence M.
AU - Tilzey, John F.
AU - Lobo, Margaret J.
AU - Garfi, John S.
AU - Vallier, Heather A.
AU - Dolenc, Andrea
AU - Breslin, Mary
AU - Prayson, Michael J.
AU - Laughlin, Richard
AU - Rubino, L. Joseph
AU - May, Jedediah
AU - Rieser, Geoffrey Ryan
AU - Dulaney-Cripe, Liz
AU - Gayton, Chris
AU - Shaer, James
AU - Schrickel, Tyson
AU - Hileman, Barbara
AU - Gorczyca, John T.
AU - Gross, Jonathan M.
AU - Humphrey, Catherine A.
AU - Kates, Stephen
AU - Ketz, John P.
AU - Noble, Krista
AU - McIntyre, Allison W.
AU - Pecorella, Kaili
AU - Davis, Craig A.
AU - Weinerman, Stuart
AU - Weingarten, Peter
AU - Stull, Philip
AU - Lindenbaum, Stephen
AU - Hewitt, Michael
AU - Schwappach, John
AU - Baker, Janell K.
AU - Rutherford, Tori
AU - Newman, Heike
AU - Lieberman, Shane
AU - Finn, Erin
AU - Robbins, Kristin
AU - Hurley, Meghan
AU - Lyle, Lindsey
AU - Mitchell, Khalis
AU - Browner, Kieran
AU - Whatley, Erica
AU - Payton, Krystal
AU - Reeves, Christina
AU - Cannada, Lisa K.
AU - Karges, David E.
AU - Dawson, Sarah A.
AU - Mehta, Samir
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AU - Ahn, Jaimo
AU - Donegan, Derek
AU - Horan, Annamarie D.
AU - Hesketh, Patrick J.
AU - Bannister, Evan R.
AU - Keeve, Jonathan P.
AU - Anderson, Christopher G.
AU - McDonald, Michael D.
AU - Hoffman, Jodi M.
AU - Tarkin, Ivan
AU - Siska, Peter
AU - Gruen, Gary
AU - Evans, Andrew
AU - Farrell, Dana J.
AU - Irrgang, James
AU - Luther, Arlene
AU - Cross, William W., III
AU - Cass, Joseph R.
AU - Sems, Stephen A.
AU - Torchia, Michael E.
AU - Scrabeck, Tyson
AU - Jenkins, Mark
AU - Dumais, Jules
AU - Romero, Amanda W.
AU - Sagebien, Carlos A.
AU - Butler, Mark S.
AU - Monica, James T.
AU - Seuffert, Patricia
AU - Hsu, Joseph R.
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AU - Ficke, James
AU - Charlton, Michael
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AU - Swenson, Teresa K.
AU - Schmidt, Andrew H.
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AU - Peterson, Brett
AU - Huff, Roger B.
AU - Baele, Joseph
AU - Weber, Timothy
AU - Edison, Matt
AU - McBeth, Jessica Cooper
AU - Shively, Karl
AU - Ertl, Janos P.
AU - Mullis, Brian
AU - Parr, J. Andrew
AU - Worman, Ripley
AU - Frizzell, Valda
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AU - Alosky, Rachel
AU - Shell, Leslie E.
AU - Hampton, Lynne
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AU - Nanney, Tracy
AU - Cuento, Claudine
AU - Cantu, Robert, V
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AU - Eickhoff, Linda S.
AU - Hammerberg, E. Mark
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AU - Hak, David
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AU - Caminiti, Stephanie
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AU - Obremskey, William
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AU - Stringfellow, Kenya
AU - Dohm, Michael P.
AU - Zellar, Abby
AU - Segers, Michiel J. M.
AU - Zijl, Jacco A. C.
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AU - Govaert, Lonneke
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AU - Wille, Jan
AU - Go, Peter M. N. Y. M.
AU - Ritchie, Ewan D.
AU - Wessel, Ronald N.
AU - Hammacher, Eric R.
AU - Visser, Gijs A.
AU - Stockmann, Heyn
AU - Silvis, Rob
AU - Snellen, Jaap P.
AU - Rijbroek, Bram
AU - Scheepers, Joris J. G.
AU - Vermeulen, Erik G. J.
AU - Siroen, Michiel P. C.
AU - Vuylsteke, Ronald
AU - Brom, Hans L. F.
AU - Rijna, Herman
AU - de Rijcke, Piet A. R.
AU - Koppert, Cees L.
AU - Buijk, Steven E.
AU - Groenendijk, Richard P. R.
AU - Dawson, Imro
AU - Tetteroo, Geert W. M.
AU - Bruijninckx, Milko M. M.
AU - Doornebosch, Pascal G.
AU - de Graaf, Eelco J. R.
AU - van der Elst, Maarten
AU - van der Pol, Carmen C.
AU - van't Riet, Martijne
AU - Karsten, Tom M.
AU - de Vries, Mark R.
AU - Stassen, Laurents P. S.
AU - Schep, Niels W. L.
AU - Ben Schmidt, G.
AU - Hoffman, W. H.
AU - Poolman, Rudolf W.
AU - Simons, Maarten P.
AU - van der Heijden, Frank H. W. M.
AU - Willems, W. Jaap
AU - de Meulemeester, Frank R. A. J.
AU - van der Hart, Cor P.
AU - Turckan, Kahn
AU - Festen, Sebastiaan
AU - de Nies, Frank
AU - Out, Nico J. M.
AU - Bosma, Jan
AU - van Kampen, Albert
AU - Biert, Jan
AU - van Vugt, Arie B.
AU - Edwards, Michael J. R.
AU - Blokhuis, Taco J.
AU - Frolke, Jan Paul M.
AU - Geeraedts, Leo M. G.
AU - Gardeniers, Jean W. M.
AU - Tan, Edward C. T. H.
AU - Poethekke, Lodewijk M. S. J.
AU - Malefijt, Maarten C. de Waal
AU - Schreurs, Bart
AU - Roukema, Gert R.
AU - Josaputra, Hong A.
AU - Keller, Paul
AU - de Rooij, Peter D.
AU - Kuiken, Hans
AU - Boxma, Han
AU - Cleffken, Berry, I
AU - Liem, Ronald
AU - Rhemrev, Steven J.
AU - Bosman, Coks H. R.
AU - van Otterloo, Alexander de Mol
AU - Hoogendoorn, Jochem
AU - de Vries, Alexander C.
AU - Meylaerts, Sven A. G.
AU - Verhofstad, Michiel H. J.
AU - Meijer, Joost
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AU - van der Brand, Igor
AU - Patka, Peter
AU - Eversdijk, Martin G.
AU - Peters, Rolf
AU - Den Hartog, Dennis
AU - Van Waes, Oscar J. F.
AU - Oprel, Pim
AU - van der Vis, Harm M.
AU - Campo, Martin
AU - Verhagen, Ronald
AU - Albers, G. H. Robert
AU - Zurcher, Arthur W.
AU - Simmermacher, Rogier K. J.
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AU - van Gaalen, Steven M.
AU - Leenen, Luke P. H.
AU - Bronkhorst, Maarten W. G. A.
AU - Guicherit, Onno R.
AU - Goslings, J. Carel
AU - Ponsen, Kees Jan
AU - Bhatia, Mahesh
AU - Arora, Vinod
AU - Tyagi, Vivek
AU - Bedi, Harvinder
AU - Can, Ashley
AU - Curry, Hamish
AU - Chia, Andrew
AU - Csongvay, Steve
AU - Donohue, Craig
AU - Doig, Stephen
AU - Edwards, Elton
AU - Etherington, Greg
AU - Esser, Max
AU - Gong, Andrew
AU - Jain, Arvind
AU - Li, Doug
AU - Miller, Russell
AU - Moaveni, Ash
AU - Russ, Matthias
AU - Ton, Lu
AU - Wang, Otis
AU - Dowrick, Adam
AU - Murdoch, Zoe
AU - Sage, Claire
AU - Frihagen, Frede
AU - Clarke-Jenssen, John
AU - Hjorthaug, Geir
AU - Ianssen, Torben
AU - Amundsen, Asgeir
AU - Brattgjerd, Jan Egil
AU - Borch, Tor
AU - Boe, Berthe
AU - Flatoy, Bernhard
AU - Hasselund, Sondre
AU - Haug, Knut Jurgen
AU - Hemlock, Kim
AU - Hoseth, Tor Magne
AU - Jomaas, Geir
AU - Kibsgard, Thomas
AU - Lona, Tarjei
AU - Moatshe, Gilbert
AU - Mueller, Oliver
AU - Molund, Marius
AU - Nicolaisen, Tor
AU - Nilsen, Fredrik
AU - Rydinge, Jonas
AU - Smedsrud, Morten
AU - Stodle, Are
AU - Trommer, Axel
AU - Ugland, Stein
AU - Karlsten, Anders
AU - Elas, Guri
AU - Vesterhus, Elise Berg
AU - Brekke, Anne Christine
AU - Gupta, Ajay
AU - Jain, Neeraj
AU - Khan, Farah
AU - Sharma, Ateet
AU - Sanghavi, Amir
AU - Trivedi, Mittal
AU - Rai, Anil
AU - Subash,
AU - Rai, Kamal
AU - Yadav, Vineet
AU - Singh, Sanjay
AU - Tetsworth, Kevin
AU - Donald, Geoff
AU - Weinrauch, Patrick
AU - Pincus, Paul
AU - Yang, Steven
AU - Halliday, Brett
AU - Gervais, Trevor
AU - Holt, Michael
AU - Flynn, Annette
AU - Prasad, Amal Shankar
AU - Mishra, Vimlesh
AU - Sundaresh, D. C.
AU - Khanna, Angshuman
AU - Cherian, Joe Joseph
AU - Olakkengil, Davy J.
AU - Sharma, Gaurav
AU - Pirpiris, Marinis
AU - Love, David
AU - Bucknill, Andrew
AU - Farrugia, Richard J.
AU - Pape, Hans-Christoph
AU - Knobe, Matthias
AU - Pfeifer, Roman
AU - Hull, Peter
AU - Lewis, Sophie
AU - Evans, Simone
AU - Nanda, Rajesh
AU - Logishetty, Rajanikanth
AU - Anand, Sanjeev
AU - Bowler, Carol
AU - Dadi, Akhil
AU - Palla, Naveen
AU - Ganguly, Utsav
AU - Rai, B. Sachidananda
AU - Rajakumar, Janakiraman
AU - Jennings, Andrew
AU - Chuter, Graham
AU - Rose, Glynis
AU - Horner, Gillian
AU - Clark, Callum
AU - Eke, Kate
AU - Reed, Mike
AU - Inman, Dominic
AU - Heniott, Chris
AU - Dobb, Christine
N1 - Funding Information: E. H. Schemitsch reports personal fees from Stryker, personal fees from Smith & Nephew, personal fees from Zimmer, personal fees from Acumed, personal fees from Amgen, personal fees from Sanofi, and personal fees from Pendopharm, outside the submitted work. S. Sprague reports employment/salary from McMaster University, and other from the Global Research Solutions, outside the submitted work. M. J. Heetveld reports grants from Stichting NutsOhra, grants from the Netherlands Organization for Health Research and Development, during the conduct of the study. M. Swiontkowski reports grants from the National Institutes of Health (NIH)/National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), during the conduct of the study; other from JBJS Editor, outside the submitted work. M. Bhandari reports grants from the Canadian Institutes of Health Research, grants from the National Insti-tutes of Health, grants from Stichting NutsOhra, grants from the Nether-lands Organization for Health Research and Development, grants from Physicians’ Services Incorporated, and grants from Stryker Inc, during the conduct of the study; grants and personal fees from Stryker Inc, personal fees from Smith & Nephew, grants and personal fees from Amgen, grants from DePuy, grants and personal fees from Eli Lilly, grants and personal fees from DJO Global Inc, personal fees from Zimmer, personal fees from Ferring, and grants from the Canada Research Chair in Musculoskeletal Trauma, outside the submitted work. The remaining authors have no conflicts of interest. Funding Information: The FAITH study was supported by research grants from the Canadian Institutes of Health Research (MOP-106630 and MCT-87771), the National Institutes of Health (1R01AR055267-01A1), Stichting NutsOhra (SNO-T-0602-43), the Netherlands Organization for Health Research and Development (80-82310-97-11032), and Physicians’ Services Incorpo-rated. Publisher Copyright: © 2019 Lippincott Williams and Wilkins. All rights reserved.
PY - 2019/6
Y1 - 2019/6
N2 - Objectives:The FAITH trial evaluated effects of sliding hip screws versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of AIDS, and investigated factors associated with living and walking independently 12 months after fracture.Methods:We conducted a descriptive analysis to quantify patients' changes in living status, use of AIDS, and used multivariable Cox regression analyses to determine factors associated with living and walking independently after fracture.Results:Of patients who lived independently before hip fracture, 3.07% (50-80 years old) and 19.81% (>80 years old) were institutionalized 12 months after injury. Of patients who were walking independently before injury, 33.62% (50-80 years old) and 69.34% (>80 years old) required a walking aid 12 months after injury. Factors associated with higher chances of living independently included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, not using a walking aid before fracture, being a nonsmoker or former smoker, and having an acceptable quality of implant placement. Factors associated with higher chances of walking without an aid included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, living independently before fracture, being a nonsmoker or former smoker, having an undisplaced fracture, and not requiring revision surgery.Conclusions:Femoral neck fracture patients suffer great losses of independence. Identifying factors associated with living and walking independently after hip fracture may help surgeons better identify which patients are at risk and optimize care of patients with this injury.Level of Evidence:Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
AB - Objectives:The FAITH trial evaluated effects of sliding hip screws versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of AIDS, and investigated factors associated with living and walking independently 12 months after fracture.Methods:We conducted a descriptive analysis to quantify patients' changes in living status, use of AIDS, and used multivariable Cox regression analyses to determine factors associated with living and walking independently after fracture.Results:Of patients who lived independently before hip fracture, 3.07% (50-80 years old) and 19.81% (>80 years old) were institutionalized 12 months after injury. Of patients who were walking independently before injury, 33.62% (50-80 years old) and 69.34% (>80 years old) required a walking aid 12 months after injury. Factors associated with higher chances of living independently included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, not using a walking aid before fracture, being a nonsmoker or former smoker, and having an acceptable quality of implant placement. Factors associated with higher chances of walking without an aid included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, living independently before fracture, being a nonsmoker or former smoker, having an undisplaced fracture, and not requiring revision surgery.Conclusions:Femoral neck fracture patients suffer great losses of independence. Identifying factors associated with living and walking independently after hip fracture may help surgeons better identify which patients are at risk and optimize care of patients with this injury.Level of Evidence:Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
KW - femoral neck fractures
KW - cancellous screws
KW - sliding hip screws
KW - patient autonomy
KW - fragility fracture
KW - mobility
KW - activities of daily living
KW - functional recovery
KW - aged
UR - http://www.scopus.com/inward/record.url?scp=85066879148&partnerID=8YFLogxK
U2 - 10.1097/BOT.0000000000001444
DO - 10.1097/BOT.0000000000001444
M3 - Article
SN - 0890-5339
VL - 33
SP - 292
EP - 300
JO - Journal of Orthopaedic Trauma
JF - Journal of Orthopaedic Trauma
IS - 6
ER -