Why the study?
Does replacement arthroplasty improve functional outcomes compared to internal fixation in elderly patients with unstable intertrochanteric femoral fractures?
Does replacement arthroplasty improve functional outcomes compared to internal fixation in elderly patients with unstable intertrochanteric femoral fractures?
Replacement arthroplasty provides superior functional outcomes, especially earlier mobilization, compared to internal fixation in elderly patients with unstable intertrochanteric femoral fractures.
Arthroplasty enables earlier mobilization than fixation in elderly unstable intertrochanteric fractures; reinforces its preference for functional recovery.
The purpose of this study was to compare the outcomes focusing on the functional outcome and clinical results of replacement arthroplasty (AP) vs. internal fixation (IF) for the treatment of unstable intertrochanteric femoral fracture in elderly. Systematic review and meta-analysis were performed on 10 available clinical studies (2 randomized controlled trials and 8 comparative studies). Subgroup analysis was performed by type of methodological quality. Partial weight bearing time in AP group was earlier than that in IF group (SMD = -0.86; 95% CI = -0.42, 1.29; P = 0.050). The overall outcomes such as mortality, reoperation rate, and complication showed no significant diffrence between the 2 groups (AP vs. IF). Therefore, this systematic review demonstrates that AP provides superior functional outcomes especially earlier mobilization, as compared to IF in elderly patients with an unstable intertrochanteric femoral fracture.
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Yoo et al. (2017) studied this question.
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