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Archives of Orthopaedic and Trauma Surgery

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01-07-2012 | Hip Arthroplasty

A meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures

Authors: Liang Liao, Jin min Zhao, Wei Su, Xiao fei Ding, Liang jun Chen, Shi xing Luo

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2012

Abstract

Background

Total hip arthroplasty or hemiarthroplasty are used to treat displaced femoral neck fractures. However, the optimal treatment of these fractures remained controversial.

Objective

To assess the effects that compare total hip arthroplasty with hemiarthroplasty for the treatment of femoral neck fractures in the elderly.

Methods

We searched MEDLINE (January 1980 to 2010), EMBASE (January 1980 to 2010), and the Cochrane Library 2010; issue 1. Only prospective randomized controlled trials (RCTs) that compare total hip arthroplasty with hemiarthroplasty for the treatment of femoral neck fracture in the elderly were included. The analysis was performed with software RevMan5.0 from the Cochrane Collaboration.

Results

We identified seven relevant randomized controlled trials with a total of 828 participants. The meta-analysis showed relative risk of re-operation was 0.40 (95% CI = 0.24–0.67, P = 0.0004), the dislocation was 2.02 (95% CI = 1.26–3.25, P = 0.002), the mobility as functional outcome was 1.70 (95% CI = 1.21–2.38, P = 0.002). It was reported that the average operating room times and blood loss volumes in total hip arthroplasty were more than in hemiarthroplasty (P < 0.001). Other results were not significantly different.

Conclusions

Total hip arthroplasty is associated with better functional outcome and lower reoperation rate than hemiarthroplasty in treatment of displaced femoral neck fractures in the elderly patients.

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Title: A meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures
Authors: Liang Liao
Jin min Zhao
Wei Su
Xiao fei Ding
Liang jun Chen
Shi xing Luo
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-012-1485-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures

Abstract

Background

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusions

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