Does total hip arthroplasty provide better outcomes than hemiarthroplasty for the femoral neck fracture? A systematic review and meta-analysis

作     者：Wei Peng Na Bi Jun Zheng Na Xi Peng Wei;Bi Na;Zheng Jun;Xi Na

作者机构：Eighth Medical Center of Chinese PLA General HospitalBeijing 100091China 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2020年第23卷第6期

页      面：356-362页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Total hip arthroplasty Hemiarthroplasty Femoral neck fractures Meta-analysis 

摘      要：Purpose By comparing the outcomes of total hip arthroplasty with hemiarthroplasty in elderly patients with a femoral neck fracture to investigate the one-year mortality,dislocation,infection,reoperation rate,and thromboembolic *** The PubMed,EMBASE databases,and Cochrane library were systematically searched from the inception dates to April 1,2020 for relevant randomized controlled trials in English language using the keywords:“total hip arthroplasty,“hemiarthroplastyand“femoral neck fractureto identify systematic reviews and *** reviewers independently selected articles,extracted data,assessed the quality evidence and risk bias of included trials using the Cochrane Collaboration’stools,and discussed any *** third reviewer was consulted for any doubts or *** derived risk ratios and 95%confidence *** was defined as the primary *** outcomes were other complications,dislocation,infection,reoperation rate,and thromboembolic *** This meta-analysis included 10 studies with 1419 patients,which indicated that there were no significant differences between hemiarthroplasty and total hip arthroplasty in reoperation,infection rate,and thromboembolic ***,there was a lower mortality and dislocation rate association with total hip arthroplasty at the one-year *** Based on our results,we found that total hip arthroplasty was better than hemiarthroplasty for a hip fracture at one-year follow-up.