Comparison of bipolar hemiarthroplasty and total hip arthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis

BMC Musculoskeletal Disorders
Feng WangXimin Feng

Abstract

Displaced femoral neck fractures (FNFs) in healthy elderly patients have traditionally been managed with hemiarthroplasty (HA) or total hip arthroplasty (THA), with studies suggesting that THA may be the better option. However, it has recently been reported that bipolar HA (BHA) also provides good outcomes, and it is not clear as to whether BHA or THA is most appropriate. The purpose of this study was to conduct a meta-analysis of randomized controlled trials (RCTs) comparing the outcomes of BHA with THA for treating FNF in healthy elderly patients. We searched the following databases from inception to May 2015 for relevant RCTs without language restrictions: PubMed, the Cochrane Central Register of Controlled Trials, Ovid MEDLINE and EMBASE, CINAHL, the China Biological Medicine Database, International Clinical Trials Registry Platform, Current Controlled Trials, and ClinicalTrials.gov. RCTs that met the inclusion criteria were statistically analyzed using the Cochrane review methods. Eight RCTs were included (total 1,014 patients; 523 had BHA and 491 had THA). The data from included RCTs were divided into four subgroups according to different follow-up durations. The Harris Hip Score after BHA was not different from that afte...Continue Reading

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Citations

Mar 16, 2016·The Journal of Arthroplasty·Emmanouil LiodakisStephane G Bergeron
Jul 6, 2016·BMC Musculoskeletal Disorders·Joon Soon KangTae Hoon Roh
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Sep 22, 2021·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Renée HuggardGordon Corfield

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Methods Mentioned

BETA
total hip arthroplasty
total

Software Mentioned

Cochrane Review Manager
RevMan

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