Total Hip Arthroplasty Versus Hemiarthroplasty for ... | 合法醫療器材資訊網

由SEkhtiari著作·2020·被引用7次—Arecentmeta-analysisreportedthattotalhiparthroplasty(THA)wassuperiortohemiarthroplasty(HA)intermsofreoperations,butinferiorin ...

Background: Hip fractures are a leading cause of disability worldwide, with displaced femoral neck fractures being of particular concern. A recent meta-analysis reported that total hip arthroplasty (THA) was superior to hemiarthroplasty (HA) in terms of reoperations, but inferior in terms of dislocations. However, publication of 4 additional randomized controlled trials that enrolled nearly 1,780 additional patients merits an updated meta-analysis.

Methods: We conducted a literature search of 4 databases to identify randomized controlled trials comparing THA and HA in patients with displaced femoral neck fractures. For patient-reported outcomes, the minimally important difference informed calculation of risk differences. We performed a subgroup analysis to address the possible impact of risk of bias and performed meta-regression to assess the possible impact of duration of follow-up.

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