Evidence map›Paper›PMID 40731418›Full record

ReviewJournal of orthopaedic surgery and research2025

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.

Guilherme Guadagnini Falotico, Fabio Teruo Matsunaga, Jorge Sayum Filho, Vinicius Ynoe Moraes, Marina Seike Garcia, Flavio Faloppa, Marcel Jun Sugawara Tamaoki, João Carlos Belloti

Abstract readComparative StudyReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Guilherme Guadagnini FaloticoOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil. falotico@unifesp.br.
Fabio Teruo MatsunagaOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.
Jorge Sayum FilhoEscola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.
Vinicius Ynoe MoraesOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.
Marina Seike GarciaOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.
Flavio FaloppaOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.
Marcel Jun Sugawara TamaokiOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.
João Carlos BellotiOrthopaedics Department -Escola Paulista de Medicina, Federal University Of Brazil, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundhip arthroplasties for the treatment of displaced femoral neck fractures in adults can be total replacement or hemiarthroplasty. Despite the large number of studies on the topic, the best choice of arthroplasty to be used remains unclear.

objectivesoverview the results of systematic reviews of randomized controlled trials (RCTs) comparing outcomes between total hip replacement and hemiarthroplasty for displaced femoral neck fractures in adults. DESIGN AND

settingThe study followed the standards of the Prisma checklist and the Cochrane handbook.

methodsFour electronic databases (Pubmed, Embase, Cochrane Library and Web of Science) were researched until January 2025. The primary outcomes were mortality, function, quality of life and revision rate and the secondary ones: dislocation, periprosthetic fracture, infection, and surgical time. Comparisons of dichotomous data were reported as the OR and 95% CI, and comparisons of functional and health related quality of life outcomes were reported as the mean difference and 95% CI.

resultstwenty systematic reviews with a total of 29,980 patients were analyzed. Patients with total hip arthroplasty had a lower revision rate (RR 0.67, 95% CI 0.48 to 0.93; participants = 4078; studies = 22; I2 = 30%), better early function (SMD 0.59, 95% CI 0.04 to 1.08; participants = 963; studies = 12; I2 = 87%) and better quality of life (DM 0.05, 95% CI 0.03 to 0.08; participants = 1240; studies = 6; I2 = 28%). There was no difference regarding dislocation, infection, periprosthetic fracture and mortality. Surgical time was shorter in hemiarthroplasty (DM 20.46, 95% CI 12.12 to 28, 80; participants = 1493; studies = 16; I2 = 95%).

conclusionTotal hip arthroplasty had a lower revision rate, better quality of life and function. The surgical time was on average 20 min shorter in hemiarthroplasty. Mortality, dislocation, infection, and periprosthetic fracture rates were similar. SYSTEMATIC REVIEW REGISTRATION: (CRD42021237885), and published in August 2021 ( https://bmjopen.bmj.com/content/11/11/e051840.long ).

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyHumansQuality of LifeRandomized Controlled Trials as TopicReoperationSystematic Reviews as TopicTreatment OutcomeFemoral neck fractureFunctionHip arthroplastyQuality of lifeRevision rate

Identifiers

PMID40731418
PMCPMC12308922

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.