Key result
Total hip arthroplasty was associated with a similar risk of short-term complications at 90 days compared with hemiarthroplasty for intracapsular hip fractures (OR 0.89; P=.06).
Why the study?
Does total hip arthroplasty compared to hemiarthroplasty improve complication and revision rates in patients with intracapsular hip fractures?
Population
40,765 patients with intracapsular hip fractures, including 2,437 undergoing THA and 38,328 undergoing…
Comparison
Total hip arthroplasty (THA) vs Hemiarthroplasty
Design
Cohort
Follow-up
90 days (short-term) and up to 11 years (mid-term)
Authors
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Similar short-term risks support either option in observational data; leaves open randomized comparisons on revisions.
Cohort (n=40,765)
Yes
Does total hip arthroplasty compared to hemiarthroplasty improve complication and revision rates in patients with intracapsular hip fractures?
Odds Ratio: 0.89
p-value: p=.06
Total hip arthroplasty and hemiarthroplasty are both safe alternatives for treating intracapsular hip fractures, with similar short-term complication and mid-term revision risks.
SooHoo et al. (2013) conducted a cohort in Intracapsular hip fractures (n=40,765). Total hip arthroplasty vs. Hemiarthroplasty was evaluated on Short-term complication risk at 90 days postoperatively (OR 0.89, p=.06). Total hip arthroplasty was associated with a similar risk of short-term complications at 90 days compared with hemiarthroplasty for intracapsular hip fractures (OR 0.89; P=.06).
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