Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health Profile questionnaire was sent and returned by mail and the patient groups were matched with regard to age, sex, health, and social situation. Patients with healed fractures had less problems with sleep, housework and hobbies, and thus functioned better than patients who had required a secondary total hip replacement.
R/~sum& Deux groupes comparables de fractures du col du fbmur, de 28 patients chacun, trait& l'un par ostbosynth&e, l'autre par arthroplastie secondaire d u n e complication du traitement primitif, ont Otk kvaluds et compar& cinq ans ou plus aprOs la pre-miOre intervention d'ostkosynth&e. Le questionnaire du ~)Nottingham Health Profilea a btk envoyb et retournO par courrier, et les groupes de malades ont ktb appari& en fonction de l~ge, du sexe, de l'Otat de santo et de la situation sociale. Les patients ayant une fracture consolidke ont moins de probl~mes de sommeil, d'activitk mbnagOre et de loisirs que ceux qui ont eu besoin d'une arthroplastie totale secondaire.