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Centre for Policy on Ageing | |
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Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients
— systematic review | | Author(s) | Colin Hopley, Dirk Stengel, Axel Ekkernkamp |
| Journal title | British Medical Journal, vol 340, no 7761, 26 June 2010 |
| Pages | p 1397 |
| Source | www.bmj.com BMJ2010;340:c2332 |
| Keywords | Fractures ; Orthopaedics ; Clinical surveys ; Literature reviews. |
| Annotation | Do patients aged 60+ treated with total hip arthroplasty for displaced fractures of the femoral neck have a lower risk of local and system complications and better functional outcomes than those treated with hemiarthroplasty? This summary of a paper published on bmj.com reports on a literature search of Medline, Embase, the Cochrane register of controlled trials, and publishers' databases for randomised controlled trials, quasi-randomised trials and cohort studies comparing these procedures. 202 of the 3821 references were scrutinised in full. 15 were eligible for inclusion: 4 randomised trials (n=421), 3 quasi-randomised trials (n=335) and 8 cohort studies (n=1114). It is unclear whether fractured hips should be replaced by total hip arthroplasty or hemiarthroplasty in the emergency setting. A comprehensive review of the entire body of comparative evidence was carried out to compared important clinical outcomes between the two types of endoprostheses. (RH). |
| Accession Number | CPA-100630210 A |
| Classmark | CUF: LKB: 3G: 64A * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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