title: Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture.
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.
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Seo-Kiat
authors.initials: SK
authors.lastname: Goh
authors.forename: Miny
authors.initials: M
authors.lastname: Samuel
authors.forename: David Hsien Ching
authors.initials: DH
authors.lastname: Su
authors.forename: Edwin Shih-Yen
authors.initials: ES
authors.lastname: Chan
authors.forename: Seng-Jin
authors.initials: SJ
authors.lastname: Yeo
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D016032:Randomized Controlled Trials as Topic