Evidence map›Paper›PMID 22623062›Full record

SynthesisInternational orthopaedics2012

Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials.

Paul T P W Burgers, Arnoud R Van Geene, Michel P J Van den Bekerom, Esther M M Van Lieshout, Bastiaan Blom, Ilyas S Aleem, M Bhandari, Rudolf W Poolman

2 registry-linked trialsOpen access · hybridAbstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 147 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 13 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00556842 nacompletednot on this map

Hip Fracture Evaluation With Alternatives of Total Hip Arthroplasty Versus Hemi-Arthroplasty: A Multi-Centre Randomized Trial Comparing Total Hip Arthroplasty and Hemi-Arthroplasty on Secondary Procedures and Quality of Life in Patients With Displaced Femoral Neck Fractures

TypeinterventionalSponsorMcMaster UniversityRan2009 to 2019Enrolled1,495ConditionsHip Fractures, Femoral Neck FracturesArmsTotal hip arthroplasty, Hemi-arthroplasty
NCT05670717 unknown statusnot on this mapstarted 2023, after this paper: background citation

Subsidence of Cementless Stem Following Arthroplasty for Fracture Neck of Femur

TypeobservationalSponsorAssiut UniversityRan2023 to 2024Enrolled50ConditionsHip Arthropathy
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 13 syntheses or guidelines pooled it, 355 citations in OpenAlex.

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87 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Paul T P W BurgersDepartment of Surgery-Traumatology, Erasmus MC, Rotterdam, The Netherlands. p.t.p.w.burgers@erasmusmc.nl
Arnoud R Van Geene
Michel P J Van den Bekerom
Esther M M Van Lieshout
Bastiaan Blom
Ilyas S Aleem
M Bhandari
Rudolf W Poolman
OLVG · NLErasmus MC · NLMcMaster University · CASpaarne Ziekenhuis · NLUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDisplaced femoral neck fractures in healthy elderly patients have traditionally been managed with hemiarthroplasty (HA). Recent data suggest that total hip arthroplasty (THA) may be a better alternative.

methodsA systematic review of the English literature was conducted. Randomized controlled trials comparing all forms of THA with HA were included. Three authors independently extracted articles and predefined data. Results were pooled using a random effects model.

resultsEight trials totalling 986 patients were retrieved. After THA 4 % underwent revision surgery versus 7 % after HA. The one-year mortality was equal in both groups: 13 % (THA) versus 15 % (HA). Dislocation rates were 9 % after THA versus 3 % after HA. Equal rates were found for major (25 % in THA versus 24 % in HA) and minor complications (13 % THA versus 14 % HA). The weighted mean of the Harris hip score was 81 points after THA versus 77 after HA. The subdomain pain of the HHS (weighted mean score after THA was 42 versus 39 points for HA), the rate of patients reporting mild to no pain (75 % after THA versus 56 % after HA) and the score of WOMAC (94 points for THA versus 78 for HA) all favored THA. Quality of life measured with the EQ-5D favored THA (0.69 versus 0.57).

conclusionsTotal hip arthroplasty for displaced femoral neck fractures in the fit elderly may lead to higher patient-based outcomes but has higher dislocation rates compared with hemiarthroplasty. Further high-quality randomized clinical trails are needed to provide robust evidence and to definitively answer this clinical question.

Indexed as

Arthroplasty, Replacement, HipRandomized Controlled Trials as TopicAgedAged, 80 and overArthroplastyFemoral Neck FracturesHip DislocationHumansIncidenceMiddle AgedPostoperative ComplicationsTreatment Outcome

Identifiers

PMID22623062
PMCPMC3535035
OpenAlexW2091876112

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.