The aim of this randomized trial was to compare the functional outcome of two different surgical approaches to the hip in patients with a femoral neck fracture treated with a hemiarthroplasty. A total of 150 patients who were treated between February 2014 and July 2017 were included. Patients were allocated to undergo hemiarthroplasty using either an anterolateral or a direct lateral approach, and were followed for 12 months. The mean age of the patients was 81 years (69 to 90), and 109 were women (73%). Functional outcome measures, assessed by a physiotherapist blinded to allocation, and patient-reported outcome measures (PROMs) were collected postoperatively at three and 12 months.Aims
Patients and Methods
Aims. A trial-based comparison of the use of resources, costs and quality
of life outcomes of arthroscopic and open surgical management for
rotator cuff tears in the United Kingdom NHS was performed using
data from the United Kingdom Rotator Cuff Study (UKUFF) randomised
controlled trial. Patients and Methods. Using data from 273 patients, healthcare-related use of resources,
costs and quality-adjusted life years (QALYs) were estimated at
12 months and 24 months after surgery on an intention-to-treat basis
with adjustment for covariates. Uncertainty about the incremental
cost-effectiveness ratio for arthroscopic versus open
management at 24 months of follow-up was incorporated using bootstrapping.
Multiple imputation methods were used to deal with missing data. Results. There were no significant differences between the arthroscopic
and open groups in terms of total mean use and cost of resources
or QALYs at any time post-operatively. Open management dominated
arthroscopic management in 59.8% of bootstrapped cost and effect
differences. The probability that arthroscopic management was cost-effective
compared with open management at a willingness-to-pay threshold
of £20 000 per QALY gained was 20.9%. Conclusion. There was no significant overall difference in the use or cost
of resources or
