Observational studyActa orthopaedica2020
More hip complications after total hip arthroplasty than after hemi-arthroplasty as hip fracture treatment: analysis of 5,815 matched pairs in the Swedish Hip Arthroplasty Register.
Observational study in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 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
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Outcome of hemiarthroplasty to total hip arthroplasty conversion: a systematic review.Musculoskeletal surgery · 2025Pooled it
- The Comparison between Cemented and Uncemented Hemiarthroplasty in Patients with Femoral Neck Fractures: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Orthopaedic surgery · 2023Pooled it
- Analysis of the Need for Postoperative Drainage Application for Hip Arthroplasty: A Systematic Review and Meta-Analysis.Computational and mathematical methods in medicine · 2022Pooled it
- Identification of patient subgroups by hierarchical cluster analysis in femoral neck fractures and surgical outcome analysis.Archives of orthopaedic and trauma surgery · 2026Article
- Factors associated with selection of total hip arthroplasty versus hemiarthroplasty for femoral neck fracture in older adults: a nationwide analysis of 99,084 cases.Archives of orthopaedic and trauma surgery · 2026Article
- Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fracture: an overview of systematic reviews total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fracture: an overview of systematic reviews.Journal of orthopaedic surgery and research · 2025Review
- RISK FACTORS, PREVENTION, AND TREATMENT OF INFECTIONS RELATED TO TOTAL HIP ARTHROPLASTY: SYNTHESIS OF CLINICAL EVIDENCE.Acta ortopedica brasileira · 2025Review
- A nomogram for predicting mortality risk in geriatric patients with hip fractures complicated by pneumonia: A multicenter study.SAGE open medicine · 2025Article
- Effects of intraoperative body temperature, blood pressure, cerebral tissue oxygenation, and anesthesia type on postoperative cognitive functions in geriatric arthroplasty surgery for hip fracture.Joint diseases and related surgery · 2024Observational
- The different strategies in treating displaced femoral neck fractures: mid-term surgical outcome in a register-based cohort of 1,283 patients aged 60-69 years.Acta orthopaedica · 2023Article
- Reduced mortality associated to cementless total hip arthroplasty in femoral neck fracture.Scientific reports · 2023Article
- Efficacy of Ibuprofen after Total Hip Arthroplasty to Prevent Heterotopic Ossification: Systematic Review and Meta-Analysis.Revista brasileira de ortopedia · 2023Article
- Effects of total hip arthroplasty and hemiarthroplasty on hip function in patients with traumatic femoral neck fracture.Archives of orthopaedic and trauma surgery · 2023Article
- Inter-departmental variation in surgical treatment of proximal femoral fractures: A nationwide observational cohort study.PloS one · 2023Observational
- The Widowhood Effect on Mortality in Older Patients with Hip Fracture.International journal of general medicine · 2022Article
- Analysis of risk factors affecting mortality in elderly patients operated on for hip fractures: A retrospective comparative study.Acta orthopaedica et traumatologica turcica · 2021Article
- [Hemiarthroplasty for geriatric femoral neck fractures].Operative Orthopadie und Traumatologie · 2021Article
- Complication Rates of Hemiarthroplasty Conversion to Total Hip Arthroplasty Versus Primary Total Hip Arthroplasty.Orthopedic reviews · 2021Article
- Article
- Postoperative mortality after a hip fracture over a 15-year period in Denmark: a national register study.Acta orthopaedica · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Total hip arthroplasty (THA) is increasing as treatment of displaced femoral neck fractures. Several studies compare hemiarthroplasty (HA) with THA, but results vary and few studies report on medical complications. We examined the outcome of THA and HA with a focus on medical complications, hip complications, and death.Patients and methods - Data from the Swedish Hip Arthroplasty Register on 30,953 acute hip fracture patients treated with cemented THA or HA in 2005-2011 were cross-matched with Statistics Sweden for socioeconomic data and with the National Patient Register for diagnostic codes representing medical complications within 180 days or hip complications within the study period. Propensity score matching was used to create comparable groups based on age, sex, income, level of education, marital status, Elixhauser index, and year of surgery. Logistic regression models were created for each outcome.Results - 81% were treated with HA, 73% and 71% were female (HA and THA respectively). Matching resulted in 2 groups of 5,815 patients each. THA was associated with fewer medical complications (OR = 0.83; 95% CI 0.76-0.91) and lower 1-year mortality (OR = 0.42; CI 0.38-0.48), but more hip complications (OR = 1.31; CI 1.20-1.43).Interpretation - THA as treatment of hip fracture was associated with more hip-related complications than HA. The results on mortality and medical complications are, rather, influenced by residual confounding than by the implant design per se. An expansive use of THAs for hip fracture treatment, at the expense of HAs, is not recommended based on our findings if hip complications are to be avoided.
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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.