SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2015
Bipolar versus unipolar hemiarthroplasty for displaced femoral neck fractures in the elder patient: a systematic review and meta-analysis of randomized trials.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- 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
- A systematic review and meta-analysis of cemented and uncemented bipolar hemiarthroplasty for the treatment of femoral neck fractures in elderly patients over 60 years old.Frontiers in medicine · 2023Pooled it
- Bipolar versus monopolar hemiarthroplasty for displaced femur neck fractures: a meta-analysis study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Pooled it
- Cemented Modular Bipolar Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly.Cureus · 2024Article
- Total hip arthroplasty compared to bipolar and unipolar hemiarthroplasty for displaced hip fractures in the elderly: a Bayesian network meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
- Dissociation of Bipolar Hemiarthroplasty of the Hip and Review of Literature.Arthroplasty today · 2022Article
- Correlation between Harris, modified Harris hip, and Oxford hip scores of patients who underwent hip arthroplasty and hemiarthroplasty following hip fracture.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Cemented unipolar or modular bipolar hemiarthroplasty for femoral neck fractures in elderly patients - which is better?International journal of burns and trauma · 2021Article
- Hip hemi-arthroplasty for neck of femur fracture: What is the current evidence?World journal of orthopedics · 2018Article
- Reasons for revision of failed hemiarthroplasty: Are there any differences between unipolar and bipolar?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Interventions for treating displaced intracapsular femoral neck fractures in the elderly: a Bayesian network meta-analysis of randomized controlled trials.Scientific reports · 2017Article
- Efficacy of Different Posterior Capsulotomies on Dislocations in Hip Hemiarthroplasty: T-Shaped Capsulotomy versus Longitudinal Capsulotomy.Indian journal of orthopaedicsArticle
- Risk of Aseptic Revision and Periprosthetic Fracture Following Bipolar Versus Unipolar Hemiarthroplasty.JB & JS open accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the safety and efficacy that compare bipolar hemiarthroplasty with unipolar hemiarthroplasty for the treatment of femoral neck fracture in the patient aged more than 65 years.
methodsWe searched databases including PubMed Central, MEDLINE (from 1966), EMBASE (from 1980) and the Cochrane Central Register of Controlled Trials database. Only prospective randomized controlled trials (RCTs) that compare bipolar hemiarthroplasty with unipolar hemiarthroplasty for the treatment of femoral neck fracture in the elder patient were included. RevMan 5.2 from the Cochrane Collaboration was applied to perform the meta-analysis.
resultsSix relevant RCTs with a total of 982 patients were retrieved. From this meta-analysis, mortality rates showed no statistical difference between two treatments, 14.7% for bipolar versus 13.8% for unipolar. The acetabular erosion rates were significantly different between two groups (P=0.01), 1.2% in bipolar versus 5.5% in unipolar group. Overall complication rates, dislocation rates, infection rates and reoperation rates between two groups showed no statistical difference (P>0.05). Neither of two treatments appeared to be superior regarding the clinical function assessed by Harris hip scores or return to pre-injury state rates (P>0.05).
conclusionsBoth bipolar and unipolar hemiarthroplasty for the treatment of elderly patient suffering displaced femoral neck fracture achieve similar and satisfy clinical outcome in short-term follow-up. Unipolar hemiarthroplasty seems to be a more cost-effectiveness option for elderly patient.
Indexed as
Identifiers
What OpenQuestion holds
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.