Hemiarthroplasty or total hip arthroplasty for displaced femoral neck fractures in het fit elderly

The worldwide incidence of femoral neck fractures is expected to increase enormously with aging of populations globally and increasing industrialization and urbanization. The scientific debate and discussions during morning reports which type of arthroplasty to use for femoral neck fractures in the fit elderly, reflect the ongoing controversies of this topic. The following relevant outcome parameters in decision making between the 2 types of arthroplasties will be discussed: functional outcomes, rates of complications, acetabular erosion, dislocations, revisions, surgical volume, and (in) direct costs as these are relevant in deciding between total hip arthroplasty and hemiarthroplasty.