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