Internal Fixation Versus Total Hip Arthroplasty in the Treatment of Displaced Femoral Neck Fracture: A Meta-Analysis of Randomized Controlled Trials

Sheng-Sheng Cao

doi:10.26717/bjstr.2021.33.005464

Abstract

Min-Jie Rao1#, Yi-Nan Li2#, Gong-Heng Zhang1, Xiao-Jun Yuan1, Xin-Rong Gan1, Wen-Hua Xu1 and Sheng-Sheng Cao*1 Author Affiliations 1Department of Orthopedics, The People’s Hospital of Yichun City, Jiangxi Province, China 2College of Chemical and Biological Engineering, Yichun University, Jiangxi Province, China Received: February 04, 2021| Published: February 12, 2021 Corresponding author: Sheng-Sheng Cao, Department of Orthopedics, The People’s Hospital of Yichun City, Jiangxi Province, China #Min-Jie Rao and Yi-Nan Li contributed equally to this work. DOI: 10.26717/BJSTR.2021.33.005464

Highlights

The treatment for elderly patients with displaced femoral neck fractures differ greatly, mainly include internal fixation and hip arthroplasty [1,2]
The meta-analysis revealed that total hip arthroplasty can reduce the risk of major complications, the incidence of reoperation and provide better functional recovery compared with internal fixation, but it does not reduce mortality
We found no differences in patient mortality (RR, 0.98; 95% confidence intervals (CI), [0.90, 1.06]; P=0.055, Figure 2) for total hip arthroplasty compared with internal fixation

Summary

Introduction

The treatment for elderly patients with displaced femoral neck fractures differ greatly, mainly include internal fixation and hip arthroplasty [1,2]. We conducted the metaanalysis to evaluate clinical outcomes reported in all available related RCTs in patients treated with either internal fixation or total hip arthroplasty for displaced femoral neck fractures. The treatment for elderly patients with displaced femoral neck fractures differ greatly throughout the world, but mainly include internal fixation and total hip arthroplasty. Whether internal fixation or total hip arthroplasty is more appropriate for displaced femoral neck fractures in elderly patients is still being debated. The purpose of this study is to compare, in a meta-analysis, the clinical effectiveness of internal fixation with total hip arthroplasty for treatment of displaced femoral neck fractures

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Conclusion