Hip fracture is a common condition of the older, frailer person. Carefully selected patients treated with THR survive longer and have a better outcome in comparison to HA. A log-rank test showed higher estimated survival time in patients with THR in comparison to HA (p-value 0.002).ConclusionsNHFS and walking ability can be used as an adjunct to the NICE criteria for selecting patients for THR after fracture NOF. Regression analysis showed NHFS (p-0.001) and walking ability (p-0.001) as significant predictors for the type of surgery (Nagelkerke R2-0.472). A negative correlation is noted between NHFS and type of surgery (Pearson’s correlation − 0.537, p < 0.01), implying higher NHFS decreased the likelihood of receiving THR. Patients receiving THR (mean 73.5 years, 95% CI 72–74.8) were significantly younger in comparison to patients receiving HA (mean 81.7 years, 95% CI 80.5–82.8). A logistic regression analysis was used to predict the type of surgery in these patients.ResultsA total of 230 (114 WMH and 116 MH) were identified 133 (57.8 per-cent) received hip hemiarthroplasty (HA), and 97 (42.2 per-cent) received THR. Independent predictors correlating with the outcome of surgery were identified. Patient demographics, Nottingham Hip Fracture score (NHFS), complications, re-operations, revision, 30 days and one-year mortality was obtained from patient-records. Hip fracture database from a district general hospital and university hospital was retrospectively reviewed to identify patients fulfilling NICE criteria for THR after fracture NOF. PurposeTo investigate patient-specific factors that predict Total Hip Replacement (THR) in patients with fracture neck of femur (NOF), fulfilling the National Institute of Health and Care Excellence (NICE) criteria.Methods