ReviewOTA international : the open access journal of orthopaedic trauma2021
A systematic review and meta-analysis comparing arthroplasty and internal fixation in the treatment of elderly displaced femoral neck fractures.
Review in OTA international : the open access journal of orthopaedic trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Review
- Cemented versus cementless cup fixation in total hip arthroplasty for proximal femoral fractures: analysis of revision and mortality rates from the German arthroplasty registry (EPRD).Journal of orthopaedic surgery and research · 2025Article
- How does internal fixation compared with arthroplasty affect quality of life for patients who have suffered femoral neck fractures?OTA international : the open access journal of orthopaedic trauma · 2025Article
- Cost-effectiveness analysis of proximal femoral nail versus bipolar hemiarthroplasty for femoral neck fracture.Journal of orthopaedic surgery and research · 2024Article
- Incidence and Risk Factors of Pulmonary Complications Following Femur Fracture Surgery in Patients Aged 80 Years and Older.Clinical interventions in aging · 2024Article
- Bone remodeling and cortical thinning distal to the femoral stem: a retrospective review.Archives of orthopaedic and trauma surgery · 2023Article
- Is new always better: comparison of the femoral neck system and the dynamic hip screw in the treatment of femoral neck fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Who, if anyone, may benefit from a total hip arthroplasty after a displaced femoral neck fracture?: a post hoc subgroup analysis of the HEALTH trial.Bone & joint open · 2022Article
- Functional outcomes and perceived quality of life following fixation of femoral neck fractures in adults from 18 to 69 years using dynamic hip screw (DHS) and an additional anti-rotation screw- a retrospective analysis of 53 patients after a mean follow-up time of 4 years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Surgical treatment options for femoral neck fractures in the elderly.International orthopaedics · 2022Review
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrently, there are 2 mainstream treatments for displaced femoral neck fracture, including internal fixation and arthroplasty. However, there are still some controversial problems as to which treatment should be primarily chosen.
methodsThe relevant studies comparing arthroplasty with internal fixation were searched in the databases of PubMed, Embase, and Cochrane Library. Finally, 31 relevant randomized controlled trials were included in this meta-analysis. The quality of studies was evaluated and meta-analyses were performed using RevMan 5.3 software. We also assessed the heterogeneity among studies and publication bias via the I-squared index and forest plots.
resultsThere was no significant difference between arthroplasty and internal fixation groups in patient mortality at both short-term and long-term points. However, patients treated with arthroplasty showed significantly lowered risks of reoperation both at short-term (5.6% vs 31.5%; relative risks (RR) = 0.19; 95% CI, 0.13-0.28;
conclusionsArthroplasty leads to a lower rate of reoperation, a reduced risk of complications, and a better alleviation of postoperation pain both at short-term and long-term follow-up. Most importantly, and according to trial sequence analyses, more than enough evidence has been achieved that arthroplasty does show better outcomes than internal fixation in terms of reoperation rate, complications, and postoperation pain. LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
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