Review Article
Year: 2022 | Month: August | Volume: 12 | Issue: 8 | Pages: 71-77
DOI: https://doi.org/10.52403/ijhsr.20220810
Comparative Treatment of Hemiarthroplasty Between Total Hip Arthroplasty Versus Hemiarthroplasty for Femoral Neck Fracture in Elderly: A Systematic Review and Meta-analysis
I Nyoman Yuda Raditya1, Cokorda Gde Oka Dharmayuda2
1Resident Department of Orthopaedic and Traumatology Sanglah Genera Hospital / Faculty of Medicine, Udayana University, Denpasar
2Consultant Department of Orthopaedic and Traumatology Sanglah Genera Hospital / Faculty of Medicine, Udayana University, Denpasar
Corresponding Author: I Nyoman Yuda Raditya
ABSTRACT
Introduction: Hip fractures are leading cause of disability worldwide, with displaced femoral neck fractures being of particular concern. There’s different opinion about advantages of performing total hip arthroplasty or hemiarthroplasty, recent meta-analysis reported that total hip arthroplasty (THA) was superior to hemiarthroplasty (HA) in terms of reoperations, but inferior in terms of dislocations.
Methods: We conducted a literature search of 4 databases to identify randomized controlled trials comparing THA and HA in patients. Focus in this systematic review and meta-analysis is to compare clinical outcome between Hemiarthroplasty versus Total Hip Arthroplasty for Femoral Neck Fracture
Results: We found that there is no statistically significant difference between these two groups in Functional Outcome (Harris Hip Score) between Total Hip Arthroplasty versus Hemiarthroplasty for Femoral Neck Fracture in elderly. From three studies added in this subgroup analysis, we found no statistically difference in between those two groups for the EQ-5D outcome between Total Hip Arthroplasty versus Hemiarthroplasty for Femoral Neck Fracture in elderly.
Discussion: The choice of THA or HA in FNF in the active elderly remains uncertain, although different opinion has been reported, in our systematic review, no significant difference was found in the functional outcome between two groups measured with
Conclusion: There was no differences on functional outcome and EQ-5D between Total Hip Arthroplasty and Hemiarthroplasty on Femoral Neck Fracture in elderly
Key words: Total Hip Arthroplasty, Hemiarthroplasty, .