title: Early Rehabilitation in Elderly after Arthroplasty versus Internal Fixation for Unstable Intertrochanteric Fractures of Femur: Systematic Review and Meta-Analysis.
abstract: The purpose of this study was to compare the outcomes focusing on the functional outcome and clinical results of replacement arthroplasty (AP) vs. internal fixation (IF) for the treatment of unstable intertrochanteric femoral fracture in elderly. Systematic review and meta-analysis were performed on 10 available clinical studies (2 randomized controlled trials and 8 comparative studies). Subgroup analysis was performed by type of methodological quality. Partial weight bearing time in AP group was earlier than that in IF group (SMD = -0.86; 95% CI = -0.42, 1.29; P = 0.050). The overall outcomes such as mortality, reoperation rate, and complication showed no significant diffrence between the 2 groups (AP vs. IF). Therefore, this systematic review demonstrates that AP provides superior functional outcomes especially earlier mobilization, as compared to IF in elderly patients with an unstable intertrochanteric femoral fracture.
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Gyeongsang National University Hospital, Jinju, Korea.
authors.forename: Jun Il
authors.identifier: http://orcid.org/0000-0002-3575-4123
authors.initials: JI
authors.lastname: Yoo
authors.affiliation: Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. hayongch@naver.com.
authors.forename: Yong Chan
authors.identifier: http://orcid.org/0000-0002-6249-0581
authors.initials: YC
authors.lastname: Ha
authors.affiliation: Department of Rehabilitation, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Jae Young
authors.identifier: http://orcid.org/0000-0002-9454-0344
authors.initials: JY
authors.lastname: Lim
authors.affiliation: Department of Anesthesiology, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Hyun
authors.identifier: http://orcid.org/0000-0003-2844-5880
authors.initials: H
authors.lastname: Kang
authors.affiliation: Department of Orthopaedic Surgery, Inje University College of Medicine, Seoul, Korea.
authors.forename: Byung Ho
authors.identifier: http://orcid.org/0000-0001-8518-6331
authors.initials: BH
authors.lastname: Yoon
authors.affiliation: Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Hyunho
authors.identifier: http://orcid.org/0000-0001-5664-8103
authors.initials: H
authors.lastname: Kim
mesh_terms: D000368:Aged; D019643:Arthroplasty, Replacement / Q000009:adverse effects; D002986:Clinical Trials as Topic; D016208:Databases, Factual; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D050723:Fractures, Bone / Q000401:mortality / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D011183:Postoperative Complications; D012086:Reoperation; D015996:Survival Rate
keywords: Arthroplasty; Fracture Fixation; Hip Fractures; Meta-analysis