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While hip replacement is the usual standard of care and can provide pain relief with early return to mobility, hip arthroplasty carries serious complications such as implant dislocation and infection, which may increase mortality and morbidity in frail individuals. This article updates outcome analysis of hip resection arthroplasty as a primary definitive treatment for frail non-ambulatory patients.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hip-resection-arthroplasty-as-a-primary-treatment-of-displaced-neck-fracture-in-non-ambulatory-and-fragile-patients/406760/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hip-resection-arthroplasty-as-a-primary-treatment-of-displaced-neck-fracture-in-non-ambulatory-and-fragile-patients/406760.png","ImageObject",300,407,{"name":92,"@type":93},"Mary Man","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is displaced femoral neck fracture a major issue in elderly patients?","Question",{"text":113,"@type":114},"It has a high incidence and is linked to substantial mortality and complications, leading to severe disability and impaired quality of life.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What complications limit the use of hip arthroplasty in frail, non-ambulatory patients?",{"text":118,"@type":114},"Hip arthroplasty can be associated with implant dislocation, infection, failure, periprosthetic fracture, and other complications that may require reinterventions and worsen mortality and morbidity.",{"name":120,"@type":111,"acceptedAnswer":121},"What is hip resection arthroplasty, and how does it relate to the Girdlestone procedure?",{"text":122,"@type":114},"Hip resection arthroplasty includes excision of the femoral head and corresponds to the Girdlestone resection approach, originally described for chronic tuberculous coxitis and later used for uncontrolled infected hip replacements.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},406760,1790673023,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46,"preview_page_count":4},7421720224475,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","| W | J | O | World Journal of\u003Cbr>Orthopedics |\n| --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Orthop 2025 December 18; 16(12): 109985  \nDOI: 10.5312/wjo.v16.i12.109985 ISSN 2218-5836 (online)  \nMINIREVIEWS  \nHip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients  \nDario Regis, Elisa Sartore, Edoardo Scomazzon, Romolo Borgese, Bruno Magnan, Elena M Samaila  \nSpecialty type: Orthopedics  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade B, Grade C, Grade D  \nNovelty: Grade B, Grade C, Grade C  \nCreativity or Innovation: Grade B, Grade B, Grade D  \nScientific Significance: Grade B, Grade C, Grade D  \nP-Reviewer: Fan XC, MD, PhD, Research Assistant Professor, China; Sinuhaji TRF, Researcher, Indonesia  \nReceived: May 28, 2025  \nRevised: June 29, 2025  \nAccepted: November 4, 2025  \nPublished online: December 18, 2025  \nProcessing time: 203 Days and 12.8 Hours  \nDario Regis, Elisa Sartore, Edoardo Scomazzon, Romolo Borgese, Bruno Magnan, Elena MSamaila, Department of Orthopaedic and Trauma Surgery, Integrated University Hospital, Verona 37126, Veneto, Italy  \nCorresponding author: Dario Regis, MD, Adjunct Professor, Department of Orthopaedic and Trauma Surgery, Integrated University Hospital, Piazzale Aristide Stefani 1, Verona 37126, Veneto, [Italy.](Italy. regisdario@siot.it)[ regisdario@siot.it](Italy. regisdario@siot.it)  \nAbstract  \nDue to the increasing ageing population, femoral neck fracture (FNF) is a common and significant public health issue in the elderly, as it significantly impacts patients’ quality of life, frequently leading to severe disability. Undoubtedly, hip replacement is the standard current of care for displaced FNF in this population, as it can provide pain relief and allow immediate return to mobility. However, hip arthroplasty may present severe specific complications, such as implant dislocation and infection, which may increase mortality and morbidity, especially in more frail patients. Therefore, in this particular population, alternative treatments should be considered. Girdlestone resection arthroplasty, which includes excision of the femoral head, is a salvage procedure which was first described for the management of chronic tuberculous coxitis, and then widely used in uncontrolled infected hip replacements. This article provides an updated outcome analysis of hip resection arthroplasty as a primary definitive treatment for FNF infrail non-ambulatory patients.  \nKey Words: Hip resection arthroplasty; Excision arthroplasty; Girdlestone; Femoral neck fractures; Elderly; Frailty; Review; Definitive treatment; Non-ambulatory  \n©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.  \n WJO  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 18, 2025  Volume 16  Issue 12   \nRegis D et al. RA in femoral fractures in elderly  \nCore 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 asa primary definitive treatment for acute FNF in frail non-ambulatory patients.  \nCitation: Regis D, Sartore E, Scomazzon E, Borgese R, Magnan B, Samaila EM. Hip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients. World J Or","cbCailcOs2YscLMo","https://ap.wps.com/l/cbCailcOs2YscLMo","pdf",436854,"English","# Abstract\n# Core Tip\n# Introduction\n## Epidemiology and burden of FNF in the elderly\n## Standard hip replacement and associated complications\n## Rationale for alternative treatment","[{\"question\":\"Why is displaced femoral neck fracture a major issue in elderly patients?\",\"answer\":\"It has a high incidence and is linked to substantial mortality and complications, leading to severe disability and impaired quality of life.\"},{\"question\":\"What complications limit the use of hip arthroplasty in frail, non-ambulatory patients?\",\"answer\":\"Hip arthroplasty can be associated with implant dislocation, infection, failure, periprosthetic fracture, and other complications that may require reinterventions and worsen mortality and morbidity.\"},{\"question\":\"What is hip resection arthroplasty, and how does it relate to the Girdlestone procedure?\",\"answer\":\"Hip resection arthroplasty includes excision of the femoral head and corresponds to the Girdlestone resection approach, originally described for chronic tuberculous coxitis and later used for uncontrolled infected hip replacements.\"}]","Hip resection arthroplasty as a primary treatment of displaced neck fracture in non-ambulatory and fragile patients | PDF",1790567713]