CoxaPro
> Clinical Library > Welcome to the joint replacement clinical library > Meta-analysis Comparing Total Hip Arthroplasty With Hemiarthroplasty in the Treatment of Displaced Neck of Femur Fracture
The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 24, Issue: 3, Page: 400-406
Hip
Link to article
Meta-analysis Comparing Total Hip Arthroplasty With Hemiarthroplasty in the Treatment of Displaced Neck of Femur Fracture
Goh, Seo-Kiat; Samuel, Miny; Su, David Hsien Ching; Chan, Edwin Shih-Yen; Yeo, Seng-JinHip
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.
Link to article