Outcome of total hip arthroplasty versus hip hemiarthroplasty for femoral neck fractures in the elderly: a meta-analysis of randomized control trial

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dc.contributor.authorCahyadi, NITen_US
dc.contributor.authorSteven, P.en_US
dc.date.accessioned2025-05-12T09:33:04Z
dc.date.available2025-05-12T09:33:04Z
dc.date.issued2024-12
dc.description.abstractBackground: Roughly 50% of all hip fractures are femoral neck fractures, these fractures are subtype of intracapsular hip fractures. Elderly patient's femoral neck fracture is typically the consequence of a straightforward fall from standing height with low energy. Total hip arthroplasty (THA) versus hip hemiarthroplasty (HHA) is a topic of controversy that sparked discussions over half century ago, between these two types technique have own advantages and disadvantages. Methods: A comprehensive search conducted across major electronic databases for relevant studies published from 2014-2024. Studies THA with HA for elderly patients with femoral neck fractures were included. Data regarding study characteristics, surgical techniques, outcomes, and garden classification were extracted and analyzed using appropriate statistical methods. Our primary outcomes were surgical duration, functional outcome and complications. Results: The initial search yielded total 825 studies, which 7 studies met the inclusion criteria, consisting of total 747 patients THA and HA for elderly patients with femoral neck fractures. THA had longer surgery duration compared with HA (MD=32.48, 95% CI:5.13 to 59.83, p=0.02). THA showed better ratings Harris hip score (HHS) during a year follow-up periods (MD=2.31, 95 CI:0.42 to 4.21, p=0.02). There was no significant difference in complications. Conclusions: THA advantageous over hemiarthroplasty in the terms of HHS but HA favoured in surgical duration. Ultimately, only large well-conducted studies will result in improvements in the outcomes of treatment and resolve the longstanding controversy of whether THA or HA is the preferred treatment modality for femoral neck fracture in elderly.en_US
dc.identifier.affiliationsBen Mboi Hospital, Kupang, East Nusa Tenggara, Indonesiaen_US
dc.identifier.affiliationsDepartment of Orthopaedics, Ben Mboi Hospital, Kupang, East Nusa Tenggara, Indonesiaen_US
dc.identifier.citationCahyadi NIT, Steven P.. Outcome of total hip arthroplasty versus hip hemiarthroplasty for femoral neck fractures in the elderly: a meta-analysis of randomized control trial . International Surgery Journal. 2024 Dec; 11(12): 2063-2069en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247271
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber12en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20243547en_US
dc.subjectTotal hip arthroplastyen_US
dc.subjectHip hemiarthroplastyen_US
dc.subjectFemoral neck fracturesen_US
dc.subjectElderlyen_US
dc.titleOutcome of total hip arthroplasty versus hip hemiarthroplasty for femoral neck fractures in the elderly: a meta-analysis of randomized control trialen_US
dc.typeJournal Articleen_US
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