From: Comparison of arthroplasty vs. osteosynthesis for displaced femoral neck fractures: a meta-analysis
First author | Normal cognition | Interventions | No. of patients | Age (years) | Male (%) | Duration of follow-up | Tools for functional measurement |
---|---|---|---|---|---|---|---|
Total hip arthroplasty vs. hemiarthroplasty | |||||||
Yes | Total hip arthroplasty | 40 | 74 | 20 | 8.83 (7.2 to 10.3)Â years | Oxford Hip Score | |
Hemiarthroplasty | 41 | 76 | 22 | 8.6 (7.2 to 10)Â years | |||
 Cadossi (2013) [49] | Yes | Total hip arthroplasty | 42 | 82 | 19 | 28.6 (22 to 52) months | Harris Hip Score |
Hemiarthroplasty | 41 | 84 | 32 | 30.1 (23 to 50)Â months | |||
Yes | Total hip arthroplasty | 60 | 81 | 22 | 4Â years | Harris Hip Score | |
Hemiarthroplasty | 60 | 81 | 10 | ||||
Yes | Total hip arthroplasty | 69 | 75 | 25 | 2Â years | Hip rating questionnaire | |
Hemiarthroplasty | 69 | 75 | 22 | ||||
 Macaulay (2008) [52] | Yes | Total hip arthroplasty | 17 | 82 | 59 | 34 (29 to 42) months | Harris Hip Score |
Hemiarthroplasty | 23 | 77 | 39 | ||||
No | Total hip arthroplasty | 89 | 81 | 10 | 13Â years | Harris Hip Score | |
Hemiarthroplasty | 91 | 82 | |||||
 van den Bekerom (2010) [55] | Yes | Total hip arthroplasty | 115 | 82 | 22 | 5 years | Harris Hip Score |
Hemiarthroplasty | 137 | 80 | 16 | ||||
Total hip arthroplasty vs. osteosynthesis | |||||||
 Bachrach-Lindström (2000) [24] | No | Total hip arthroplasty | 50 | 84 | 20 | 1 year | NA |
Closed reduction and internal fixation | 50 | 84 | 24 | ||||
 Blomfeldt (2005a) [27], Tidermark (2003) [28], and Tidermark (2003) [29] | Yes | Total hip replacement | 49 | 79 | 18 | 4 years | Charnley’s numerical classification |
Closed reduction and internal fixation | 53 | 81 | 21 | ||||
 Chammout (2012) [15] | Yes | Total hip replacement | 43 | 78 | 12 | 17 years | Harris Hip Score |
Open reduction and internal fixation | 57 | 79 | 28 | ||||
 Jónsson (1996) [25] | NA | Total hip replacement | 23 | 80a | 22 | 2 years | Walking ability, pain or social function |
Closed reduction and internal fixation | 24 | 79a | 25 | ||||
 Söreide (1979) [26] | NA | Total hip replacement | 53 | 78 | 13 | 14.5 (12–23) months | Stinchfield’s classification system |
Reduction and internal fixation | 51 | 78 | 26 | 14.7 (12–24) months | |||
Hemiarthroplasty vs. osteosynthesis | |||||||
 Bjorgul (2006) [30] | NA | Hemiarthroplasty | 455 | 82 | 20 | 6 years | NA |
Internal fixation | 228 | 82 | 31 | ||||
 Blomfeldt (2005b) [31] | No | Hemiarthroplasty | 30 | 84 | 7 | 2 years | Charnley’s numerical classification |
Internal fixation | 30 | 84 | 13 | ||||
 Davison (2001) [10] | Yes | Thompson unipolar hemiarthroplasty | 90 | 76a | 21 | 5 years | Harris Hip Score |
Monk bipolar hemiarthroplasty | 97 | 75a | 26 | ||||
Reduction and internal fixation | 93 | 73a | 25 | ||||
 El-Abed (2005) [32] | Yes | Hemiarthroplasty | 62 | 74 | 35 | 3 (3 to 4.5) years | Matta Scoring System |
Dynamic screw fixation | 60 | 72 | 30 | ||||
No | Hemiarthroplasty | 110 | 83 | 29 | 6 (5 to 7)Â years | Harris Hip Score | |
Internal fixation | 112 | 83 | 22 | ||||
 Hedbeck (2013) [33] | No | Hemiarthroplasty | 29 | 85 | 17 | 2 years | Charnley’s numerical classification |
Internal fixation | 30 | 84 | 17 | ||||
 Heetveld (2007) [34] | No | Hemiarthroplasty | 109 | 83 | 17 | 2 years | Harris Hip Score |
Internal fixation | 115 | 77 | 34 | ||||
No | Hemiarthroplasty | 229 | 82 | 20 | 11 years | Charnley’s numerical classification | |
Internal fixation | 226 | 82 | 20 | ||||
 Puolakka (2001) [35] | NA | Hemiarthroplasty | 15 | 82 | 7 | 2 years | NA |
Internal fixation | 17 | 81 | 24 | ||||
 Rödén (2003) [36] | Yes | Prosthesis | 47 | 81 | 28 | 5 years | NA |
Internal fixation | 53 | 81 | 30 | ||||
 Sikorski (1981) [37] | NA | Posterior Thompson | 57 | 80 | 16 | 2 years | Pain and mobility |
Anterior Thompson | 57 | 9 | |||||
Internal fixation | 76 | 21 | Â | ||||
 van Dortmont (2000) [38] | No | Hemiarthroplasty | 29 | 84 | 24 | 16.5 (0.167 to 69.5) months | NA |
Internal fixation | 31 | 84 | 3 | ||||
 van Vugt (1993) [39] | Yes | Hemiarthroplasty | 22 | 76 | 36 | 3 years | Sheperd’s pain and the hip mobility score |
Osteosynthesis | 21 | 75 | 48 | ||||
 Waaler Bjornelv (2012) [40] | No | Hemiarthroplasty | 80 | 82 | 29 | 2 years | Harris Hip Score |
Internal fixation | 86 | 22 |