Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture |
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Authors: | Goh Seo-Kiat Samuel Miny Su David Hsien Ching Chan Edwin Shih-Yen Yeo Seng-Jin |
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Affiliation: | Department of Orthopaedic Surgery, Singapore General Hospital, Singapore. |
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Abstract: | Displaced neck of femur fracture is a common clinical problem among the elderly population. Our aim is to review previously published randomized controlled trials to establish if total hip arthroplasty (THA) or hemiarthroplasty will offer a superior clinical outcome in this group of patients. We conducted literature search for relevant randomized controlled trials. A total of 407 patients from 3 trials were included in this meta-analysis. In the long-term follow-up, we found that THA patients were able to ambulate better, reported less pain compared with their hemiarthroplasty counterparts, and were less likely to undergo a repeated hip surgery. Considering the more favorable long-term outcomes in THA patients, we conclude that there may be a case to offer THA as the primary treatment of these patients. |
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Keywords: | meta-analysis hip arthroplasty hip fracture elderly patients osteoporotic fractures |
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