Evidence map›Paper›PMID 41495914›Full record

ArticleOrthopaedic surgery2026

Comparison of Mobility and Health-Related Quality of Life Between Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures in the Elderly: A Post Hoc Analysis of a Prospective Cohort Study.

Weidong Peng, Yimin Chen, Feng Gao, Mingjian Bei, Gang Liu, Jing Zhang, Yufeng Ge, Maoyi Tian, Minghui Yang, Xinbao Wu

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

Article in Orthopaedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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

10 authors.

Weidong PengDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.
Yimin ChenDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.ORCID https://orcid.org/0009-0000-4568-3413
Feng GaoDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.
Mingjian BeiDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.
Gang LiuDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.ORCID https://orcid.org/0000-0002-7914-8176
Jing ZhangSchool of Public Health, Harbin Medical University, Harbin, China.
Yufeng GeDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.
Maoyi TianSchool of Public Health, Harbin Medical University, Harbin, China.
Minghui YangDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.
Xinbao WuDepartment of Orthopedics and Traumatology, Peking University Fourth School of Clinical Medicine, Beijing, China.

Funding

Beijing JST Research Funding YGQ-202214Beijing Scholar Training Program 2021Capital's Funds for Health Improvement and Research 2022-1-2071National Natural Science Foundation of China 82372386
6 · The paper itself

Abstract

purposeTo compare the mobility and health-related quality of life (HRQoL) for femoral neck fractures (FNFs) in the elderly treated with either hemiarthroplasty (HA) or total hip arthroplasty (THA).

methodsThis study constitutes a post hoc analysis of a prospective cohort study. In this secondary analysis, we enrolled patients aged ≥ 65 years who underwent arthroplasty for FNFs at a tertiary hospital in Beijing, China, between 2018 and 2019. Patients were stratified into the HA group and THA group based on the surgical type. All patients were followed up via telephone at 30, 120, and 365 days postoperatively. The Fracture Mobility Score (FMS) was utilized to assess patients' mobility, while the EuroQol 5-Dimension (EQ-5D) instrument was adopted to evaluate their HRQoL. Intergroup comparisons, multivariate logistic regression models, and linear regression models were used to compare outcomes between the two groups and analyze the impact of surgical type on these outcomes.

resultsAmong 416 eligible patients, 333 completed all three follow-up evaluations, including 250 patients in the HA group and 83 in the THA group. Multivariate logistic regression models adjusted for potential confounders indicated that patients in the THA group were significantly more likely to achieve unrestricted mobility at 120 and 365 days postoperatively compared with the HA group (OR [95% CI] = 2.407 [1.210-4.788], p.adj = 0.012; OR [95% CI] = 2.410 [1.120-5.183], p.adj = 0.024), with no significant difference observed at the 30-day follow-up. In addition, multivariate linear regression models adjusted for 12 covariates demonstrated that the THA group achieved significantly higher EQ-5D scores at 30 and 120 days postoperatively (p.adj = 0.003 and p.adj = 0.003, respectively). However, this advantage was not sustained at the 365-day follow-up (p.adj = 0.100).

conclusionTHA may yield a higher probability of independent mobility recovery and better postoperative HRQoL than HA in elderly patients with FNFs.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyQuality of LifeAgedAged, 80 and overFemaleHumansMaleProspective StudiesProximal Femoral Fractureselderlyfemoral neck fractureshealth‐related quality of lifehemiarthroplastymobilitytotal hip arthroplasty

Identifiers

PMID41495914
PMCPMC12862430

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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.