SynthesisJournal of orthopaedic surgery and research2015
Unipolar versus bipolar hemiarthroplasty for displaced femoral neck fractures: a systematic review and meta-analysis of randomized controlled trials.
Synthesis in Journal of orthopaedic surgery and research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 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
18 citing papers in PubMed, 2 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
- Bipolar versus monopolar hemiarthroplasty for displaced femur neck fractures: a meta-analysis study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Pooled it
- Higher cartilage wear in unipolar than bipolar hemiarthroplasties of the hip at 2 years: A randomized controlled radiostereometric study in 19 fit elderly patients with femoral neck fractures.Acta orthopaedica · 2018Trial
- Article
- Cemented Modular Bipolar Hemiarthroplasty for Displaced Femoral Neck Fractures in the Elderly.Cureus · 2024Article
- Unipolar Hip Hemiarthroplasty in Geriatric Patients: A Prospective Study and Analysis of Clinical and Radiological Outcomes.Geriatric orthopaedic surgery & rehabilitation · 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
- Evaluation of functional outcome and comparison of three different surgical modalities for management of intertrochanteric fractures in elderly population.International journal of burns and trauma · 2022Article
- Hip Hemiarthroplasty: The Misnomer of a Narrow Femoral Canal and the Cost Implications.Cureus · 2021Article
- Cemented unipolar or modular bipolar hemiarthroplasty for femoral neck fractures in elderly patients - which is better?International journal of burns and trauma · 2021Article
- Geriatric Femoral Neck Fractures: Hemiarthroplasty Implant Trends Across a Health System From 2006 to 2018.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- 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
- Thompson hemiarthroplastyBone & joint research · 2017Article
- Recent advances in the treatment of hip fractures in the elderly.F1000Research · 2016Review
- Risk of Aseptic Revision and Periprosthetic Fracture Following Bipolar Versus Unipolar Hemiarthroplasty.JB & JS open accessArticle
- Efficacy of Different Posterior Capsulotomies on Dislocations in Hip Hemiarthroplasty: T-Shaped Capsulotomy versus Longitudinal Capsulotomy.Indian journal of orthopaedicsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhether bipolar hemiarthroplasty (BH) for displaced femoral neck fractures has benefit over unipolar hemiarthroplasty (UH) remains controversial. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the relative effects between BH and UH.
methodsA systematic literature search (up to April, 2014) was conducted to include RCTs comparing BH with UH for displaced femoral neck fractures. Two authors independently assessed methodological quality of the included studies and extracted data. Surgical information and postoperative outcomes were analyzed.
resultsA total of 10 RCTs including 1,190 patients were indentified. Our results demonstrated that BH was associated with similar or better outcomes in hip function, hip pain, and quality of life while with a higher cost compared with UH. Moreover, there were no significant differences between BH and UH with regard to operation time, blood loss, blood transfusion, hospital stay, mortality, reoperation, dislocation, and complications. BH could significantly decrease the incidence of acetabular erosion at 1 year follow-up compared with UH (RR = 0.24, 95% confidence interval (CI) = 0.06 to 0.89, P = 0.03), but no significant difference was observed at 4 months, 2 years, and 4 years follow-ups.
conclusionsBased on the current evidence, BH is not superior to UH in terms of surgical information and postoperative results. Despite similar or better clinical outcomes compared with UH, BH with a higher cost could not decrease long-term acetabular erosion rate.
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