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March 1, 2018The Journal of Hip Surgery

Comparison of Outcomes of Total Hip Arthroplasty to Hemiarthroplasty for Geriatric Hip Fractures: A Literature Review of Large Database Studies

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Why the study?

Does total hip arthroplasty improve outcomes compared to hemiarthroplasty in geriatric hip fracture patients?

Population

Geriatric hip fracture patients

Comparison

Total hip arthroplasty (THA) vs Hemiarthroplasty (HA)

Design

Systematic_review

Follow-up

Up to 4 years

Authors

MHMonique HaynesRush University Medical CenterJGJonathan N. GrauerMercer (Czechia)

Discussion

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Implication

THA may be favored over HA in select geriatric hip fracture patients for lower mortality despite higher dislocation risk; extends Level 1 evidence for individualized choice.

Structured PICO

Does total hip arthroplasty improve outcomes compared to hemiarthroplasty in geriatric hip fracture patients?

P
Population
Geriatric hip fracture patients (9 large database studies, each including at least 1,000 patients, data ranging from 2005 to 2013)
I
Intervention
Total hip arthroplasty (THA)
C
Comparator
Hemiarthroplasty (HA)
O
Outcome
Major/minor complications, mortality, length of stay, postoperative transfusion, readmission, dislocation, and revisionhard clinical

In geriatric patients with femoral neck fractures, THA is associated with lower mortality and fewer adverse events than HA, but carries a higher risk of dislocation and need for transfusion.

Cite This Study

Haynes et al. (2018) studied this question.

synapsesocial.com/papers/6a83eeae3fd01c19a6c58755https://doi.org/10.1055/s-0038-1646936
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Outcome Analysis of Hemiarthroplasty vs. Total Hip Replacement in Displaced Femoral Neck Fractures in the Elderly2016 · 77 citations
  2. 2Cemented or uncemented hemiarthroplasty for the treatment of femoral neck fractures?2014 · 6 citations
  3. 3Surgical research using national databases2016 · 267 citations
  4. 4Preoperative Factors and Early Complications Associated With Hemiarthroplasty and Total Hip Arthroplasty for Displaced Femoral Neck Fractures2014 · 44 citations
  5. 5Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: systematic review2010 · 294 citations