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Orthopedic Trauma Directions 2007; 5(4): 17-24
DOI: 10.1055/s-2007-980099
DOI: 10.1055/s-2007-980099
Clinical topic
© Georg Thieme Verlag Stuttgart · New York
Proximal femoral fractures
Acute intracapsular fractures treated with arthroplasty: hemiarthroplasty versus total hip arthroplasty for (update to September 2005 report)Further Information
Publication History
Publication Date:
16 July 2007 (online)
Summary
Evidence from four randomized or quasi randomized controlled trials (RCT) suggests that for patients presenting with proximal femoral fractures, relative to total hip arthroplasty (THA), patients with hemiarthroplasty (HA) may be at lower risk for dislocation, although at higher risk for revision. Patients with HA may have less mobility, but statistical significance was not consistent across studies. No significant differences in mortality based on prosthesis type were reported. Results should be interpreted cautiously given lack of homogeneity with respect to methods and prostheses used.