![]() ![]() National Institute for Health and Care Excellence (NICE). ![]() Moderate evidence supports a benefit to total hip arthroplasty in properly selected patients with unstable (displaced) femoral neck fractures 2015. 10.1007/s0026-7Īmerican Academy of Orthopaedic Surgeons (AAOS). Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials. 10.1007/s0040-8īurgers PTPW, Van Geene AR, Van den Bekerom MPJ, et al. A meta-analysis of total hip arthroplasty and hemiarthroplasty outcomes for displaced femoral neck fractures. A systematic review of hip fracture incidence and probability of fracture worldwide. Findings will be disseminated through peer-reviewed publication.Īdult orthopaedics hip orthopaedic & trauma surgery. The authors plan to complete the searches and analyses by 30 November 2021.Įthical approval was obtained at Federal University of Sao Paulo. Hip fractures in younger patients are usually caused by a high-energy impact (e.g., motor vehicle collision). Hip fractures in older adults are typically low-impact injuries and are often associated with osteoporosis. As this overview will contribute to orthopaedic surgeons and health managers in better decision-making for the treatment of these fractures. Hip fractures are classified as intracapsular (femoral head, femoral neck) or extracapsular (intertrochanteric, trochanteric, or subtrochanteric). Comparisons of dichotomous data will report as the OR and 95% CI, and comparisons of functional and health-related quality of life outcomes are reported as the mean difference and 95% CI and as the risk difference, defined as the difference in the proportion achieving the minimum clinically important difference and 95% CI. Disagreements between reviewers will be resolved by a third reviewer. Two reviewers will independently perform study selection, data extraction and quality assessment. Eligible studies will be systematic reviews of RCT that compare total hip replacement and hemiarthroplasty for treatment of displaced femoral neck fractures in adults. The present study aims to overview the results of systematic reviews of randomised controlled trials (RCTs) comparing outcomes between total hip replacement and hemiarthroplasty for displaced femoral neck fractures in adults.įour electronic databases (Pubmed, Embase, Cochrane Library and Web of Science) and reference lists from previous reviews will be searched without language limitation. Despite the high prevalence of these fractures and large number of studies on the topic, the best choice of arthroplasty to be used remains unclear. Hip arthroplasties for the treatment of displaced femoral neck fractures in adults can be total replacement or hemiarthroplasty. ![]()
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