ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Total hip arthroplasty compared to bipolar and unipolar hemiarthroplasty for displaced hip fractures in the elderly: a Bayesian network meta-analysis.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Vitamin D and calcium supplementation in women undergoing pharmacological management for postmenopausal osteoporosis: a level I of evidence systematic review.European journal of medical research · 2025Pooled it
- Clinical relevance of patient-reported outcome measures in patients who have undergone total hip arthroplasty: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Correlation between C-reactive protein and postoperative mortality in patients undergoing hip fracture surgery: a meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Vitamin D Metabolic Pathway Components in Orthopedic Patientes-Systematic Review.International journal of molecular sciences · 2022Pooled it
- Combining forces in dual certified centers of geriatric trauma/joint replacement according to the German trauma society (DGU)/endocert improves mobility and quality of life in elderly patients with femoral neck fractures: an analysis from the registry for geriatric trauma (ATR-DGU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Differential impact of hemiplegia severity stratification on post-hemiarthroplasty dislocation in elderly intertrochanteric fracture patients.American journal of translational research · 2026Article
- Comparison of Outcomes Following Bipolar Hemiarthroplasty for Displaced Femoral Neck Fractures versus Unstable Intertrochanteric Fractures: A Retrospective Propensity-Matched Study.Orthopedic reviews · 2026Article
- Early clinical efficacy of hip hemiarthroplasty via the SuperCap approach vs. the posterolateral approach in elderly patients with femoral neck fractures: a randomized controlled trial.Frontiers in surgery · 2026Article
- Friction and Cartilage Wear in Hemiarthroplasty: A Systematic Review of Key Influencing Factors.Lubricants (Basel, Switzerland) · 2026Article
- Femoral Neck Fracture Management in Elderly Patients: Surgeons' Practice Through a Registry Analysis.Life (Basel, Switzerland) · 2025Article
- When to Think and Do Bipolar in Inter Trochanteric Fractures.Indian journal of orthopaedics · 2025Review
- Femoral Neck Fractures: Incidence, Reasons, and Risk Factors of Conversion From Hemiarthroplasty to Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Article
- Trends in managing femoral neck fractures with arthroplasty in the ≥ 50 years age group.Pakistan journal of medical sciences · 2024Article
- Effects of an Emergency-Based FASE Strategy on Treating Geriatric Patients with Femoral Neck Fracture: A Retrospective Propensity Score-Matched Study.Clinical interventions in aging · 2024Article
- Complication Rates and Survival of Nonagenarians after Hip Hemiarthroplasty versus Proximal Femoral Nail Antirotation for Intertrochanteric Fractures: A 15-Year Retrospective Cohort Study of 113 Cases.Orthopaedic surgery · 2023Article
- A biomechanical comparison of three fixation methods for unstable femoral neck fractures with medial calcar defect.Journal of orthopaedic surgery and research · 2023Article
- The serum NT-proBNP is associated with all-cause mortality in geriatric hip fracture: a cohort of 1354 patients.Archives of osteoporosis · 2023Article
- Bacterial pathogens and in-hospital mortality in revision surgery for periprosthetic joint infection of the hip and knee: analysis of 346 patients.European journal of medical research · 2023Article
- [Femoral neck fractures].Orthopadie (Heidelberg, Germany) · 2023Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDisplaced femoral neck fractures (FNF) usually require surgical treatment with either a total hip arthroplasty (THA), unipolar hemiarthroplasty (U-HHA), or bipolar hemiarthroplasty (B-HHA). However, there is still controversy regarding the optimal implant. This network meta-analysis compared the outcomes and complication rates of THA versus B-HHA and versus U-HHA in elderly patients with FNF. MATERIAL AND
methodsThis study was conducted according to the PRISMA extension statement for reporting of systematic reviews, and incorporated network meta-analyses of health care interventions. The literature search was performed in September 2020. All randomized clinical trials comparing two or more of the index surgical interventions for displaced FNF in the elderly were eligible for inclusion. For the Bayesian network meta-analysis, the standardized mean difference (SMD) and Log Odd Ratio (LOR) were used.
resultsData from 24 RCTs (2808 procedures) were analysed. The mean follow-up was 33.8 months. The THA group had the longest surgical time (SMD 85.74) and the greatest Harris Hip Score (SMD - 17.31). THA scored similarly in terms of mortality (LOR 3.89), but had lower rates of revision surgeries (LOR 2.24), higher rates of dislocations (LOR 2.60), and lower rates of acetabular erosion (LOR - 0.02). Cementless implants required a shorter surgical duration (- 18.05 min; P = 0.03). Mortality was positively associated with acetabular erosion (P = 0.006), female gender (P = 0.007), revision (P < 0.0001).
conclusionTHA led to the highest Harris Hip scores and lowest rate of revision surgery compared to B-HHA and U-HHA. However, B-HHA had the lowest dislocation rate when compared with U-HHA and THA. No significant differences in functional outcomes and complication rates were found between cemented and uncemented implants; however, a tendency for lower mortality, revision and dislocation rates in cemented implants was evidenced. LEVEL OF EVIDENCE: I, Bayesian network meta-analysis of RCTs.
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