SynthesisInternational orthopaedics2014
Meta-analysis of randomised controlled trials comparing unipolar with bipolar hemiarthroplasty for displaced femoral-neck fractures.
Synthesis in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Patients with femoral neck fractures treated by bipolar hemiarthroplasty have superior to unipolar hip function and lower erosion rates and pain: a systematic review and meta-analysis of randomized controlled studies.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Surgical interventions for treating intracapsular hip fractures in older adults: a network meta-analysis.The Cochrane database of systematic reviews · 2022Pooled it
- What are the risk factors for post-operative infection after hip hemiarthroplasty? Systematic review of literature.International orthopaedics · 2016Pooled it
- Cemented Modular Bipolar Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly.Cureus · 2024Article
- Treatment of femoral neck fractures using actis stem: complication rate in 188 uncemented hemiarthroplasties.Archives of orthopaedic and trauma surgery · 2024Article
- Unipolar Hip Hemiarthroplasty in Geriatric Patients: A Prospective Study and Analysis of Clinical and Radiological Outcomes.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Cemented versus cementless bipolar hemiarthroplasty for femoral neck fractures in the elderly.EFORT open reviews · 2021Review
- Anteromedial femoral neck plate with cannulated screws for the treatment of irreducible displaced femoral neck fracture in young patients: a preliminary study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Interventions for treating displaced intracapsular femoral neck fractures in the elderly: a Bayesian network meta-analysis of randomized controlled trials.Scientific reports · 2017Article
- [Fracture arthroplasty of femoral neck fractures].Der Unfallchirurg · 2016Review
- Comment on Liu et al.: Meta-analysis of randomised controlled trials comparing unipolar with bipolar hemiarthroplasty for displaced femoral-neck fractures.International orthopaedics · 2014Article
- Comment on Liu et al.: Meta-analysis of randomised controlled trials comparing unipolar with bipolar hemiarthroplasty for displaced femoral-neck fractures.International orthopaedics · 2014Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUnipolar and bipolar hemiarthroplasty (HA) are used to treat displaced femoral-neck fractures. However, which type is best for treating displaced femoral-neck fractures in elderly patients remains a subject for debate. Our aim was to review randomised controlled trials to establish which type provides superior clinical outcome for this patient population.
methodsWe searched PubMed, Embase and Cochrane Register of Controlled Trials databases and Web of Science for randomised controlled trials (RCTs) comparing unipolar with bipolar HA to treat femoral-neck fracture in the elderly. Risk ratios (RRs) and mean differences (MDs) from each trial were pooled using random-effects or fixed-effects models depending on study heterogeneity. Analysis was performed using RevMan5.2 from the Cochrane Collaboration.
resultsA total of 1,100 patients from nine studies were assessed in this meta-analysis. Results showed no significant differences in function score [MD = -0.14, 95% confidence interval (CI) -2.42-2.13], mortality (RR = 0.97, 95% CI 0.65-1.46), dislocation (RR = 1.33, 95% CI 0.53-3.34), deep infection (RR = 0.79, 95% CI 0.35-1.79), acetabular erosion (RR = 1.99, 95% CI 0.61-6.52), operating time (MD = 2.14, 95% CI -9.85 to14.14), blood loss (MD = 13.40, 95% CI -49.60 to 76.39) and length of hospital stay (MD = 0.12, 95% CI -0.49 to 0.73) between unipolar and bipolar HA.
conclusionsUnipolar and bipolar HA achieved similar clinical outcomes in patients with displaced femoral-neck fractures.
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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.