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Table 1 Characteristics of the included studies

From: The comparison between total hip arthroplasty and hemiarthroplasty in patients with femoral neck fractures: a systematic review and meta-analysis based on 25 randomized controlled trials

Study

Country

Period

Surgical approach

Surgeon

Patients number

Age

Woman

ASA

Median time to surgery, h

Mobility

Mental status

THA

HA

Follow-up

     

THA

HA

THA mean (SD)

HA mean (SD)

THA n (%)

HA n (%)

THA

HA

THA

HA

     

Baker et al. [2] and Avery et al. [1]

England

N/A

Transgluteal lateral

Similar training levels

40

41

74.2 (5.8)

75.8 (5)

32 (80%)

32 (78%)

2 (0.5)

2 (0.5)

42

46.8

Walk > 0.8 km; live independently

MMSE9.83/9.98

Zimmer; femoral: cemented; head 28 mm cobalt chrome; acetabular: Polyethylene cemented

Zimmer; cemented; unipolar

3 years for Baker et al. [2]; 9 years for Avery et al. [1]

Bhandari et al. [3]

Multiple centers

2009–2017

Not standardize

523 surgeons with expertise in THA/HA

718

723

79.1 (8.3)

78.6 (8.6)

510 (71%)

499 (69.1%)

22/280/305/50

20/275/326/51

54.9(79)

52.5(80.3)

1072 (walk dependently)/369 (with assistance)

No dementia

Mixed

Mixed

2 years

Blomfeldt et al. [4] and Hedbeck et al. [16]

Sweden

N/A

Anterolateral

9 surgeons experienced in THA/HA

60

60

80.5 (4.9)

80.7 (4.8)

47 (78%)

54 (90%)

N/A

N/A

N/A

N/A

111 no aids or one aid (92.5%)

SPMSQ > 9

Johnson; femoral: cemented; head 28 mm exter modular stem; acetabular: OGEE, DePuy

Stryker cemented; bipolar

12 months for Blomfeldt et al. [4]; 48 months for Hedbeck et al. [16]

Cadossi et al. [6]

Italy

2008–2010

Straight lateral

2 experienced surgeons (SG, CF)

42

41

82.3 (6.3)

84.2 (6.3)

34 (81%)

28 (68%)

2/15/16/9

1/10/22/8

2.9 (1.75)

3.6 (1.5)

Independently walk

No senile dementia

Unknown

Femoral: uncemented; head: large metal; acetabular: 2.7-mm thick hydrophilic polycarbonate urethane (PCU)

Mixed; bipolar

30.1 months

Chammout et al. [8]

Sweden

2009–2016

Direct lateral

Consultant surgeon or registrar with assistance of consultant

56

62

85 (4)

86 (4)

45 (75%)

45 (75%)

ASA1/2:30; ASA3,4:30

ASA1/2:20; ASA3,4:40

< 36 h

< 36 h

No aids or one aid: THA30 (50%)/HA29 (48%)

SPMSQ:8-10

Schering-Plough

Femoral: cemented; (vacuum-mixed low-viscosity cement with gentamicin);head 32-mm cobalt-chromium; acetabular: cemented highly cross-linked polyethylene

Cemented; unipolar

2 years

Dorr et al. [10]

America

1980–1982

Posterior

N/A

39

50

69 (9)

69 (12)

23 (60%)

35 (70%)

N/A

N/A

N/A

N/A

Ambulate

Mental status1/2: 70/19

Unknown

Femoral: cemented; head: 28-mm; acetabular: unknown

Mixed; bipolar

2 years

Giannini et al. [12]

Italy

N/A

N/A

N/A

30

30

80.7 (6)

82.2 (6)

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Unknown

Femoral: uncemented; head: large metal; acetabular: pliable, 3-mm-thick polycarbonate-urethane (PCU)

Mixed; bipolar

1 year

Iorio et al. [18]

Italy

2015–2017

Direct lateral

N/A

30

30

82 (4)

83 (3)

18 (60%)

17 (56.7%)

0/3/23/4

0/4/21/5

59 (13)

51 (15)

Walk unaided

MMSE < 18

Groupe Lépine

Femoral: Uncemented; head: dual mobility cup Quattro; acetabular: N/A

Uncemented; bipolar

2 years

Keating et al. [22]

England

1996–2000

Decided by surgeon

Senior surgeon

69

111

75.2 (6)

75.4 (7)

52 (75%)

92 (83%)

N/A

N/A

< 48 h

< 48 h

Independent

MMSE > 6

Unknown

Femoral: cemented; head: N/A; acetabular: N/A

Cemented; bipolar

2 years

Li et al. [25]

China

2010–2012

Anterolateral

N/A

40

40

76.5 (6.5)

75.8 (6.2)

17 (42.5%)

19 (47.5%)

N/A

N/A

N/A

N/A

N/A

Eliminate cognitive impairment

Unknown

Femoral: mixed; head: N/A; acetabular: N/A

Mixed; N/A

2 years

Liu et al. [27]

China

2010–2012

Posterior

N/A

54

54

74.19(6.4)

75.31 (6.2)

24 (44.44%)

26 (48.1%)

N/A

N/A

N/A

N/A

N/A

Excluded dementia patients

N/A

N/A

1 year

Macaulay et al. [30] and Macaulay et al. [29]

America

N/A

Posterolateral and direct lateral (Modified Hardinge)

14 surgeons, 5 reconstruction specialists

17

23

82 (7)

77 (9)

7 (41%)

14 (61%)

N/A

N/A

N/A

N/A

Independently walk

Excluded MMSE < 23

Mixed

Mixed

1 year for Macaulay et al. [30]; 2 years for Macaulay et al. [29]

Man et al. [31]

China

2010–2012

Moore approach

N/A

37

37

N/A

N/A

28 (37.84%)

28 (37.84%)

N/A

N/A

N/A

N/A

N/A

No cognitive impairment

Cemented; N/A

Mixed; bipolar

3 years

Mouzopoulos et al. [36]

Greece

1999–2002

N/A

N/A

37

34

73.07(4.9)

74.24 (3.77)

28 (75.68%)

24 (70.59%)

2.03 (1.97)

2.21 (1.9)

45.2 (7.3)

45.8 (2.4)

Independently walk 37/34

SPMSQ 7.9 (2.6)/7.5 (3.1)

N/A

N/A

4 years

Parker et al. [28]

England

2012–2018

Anterolateral

See in a.

52

53

77.1 (5.5)

77.1 (7.25)

40 (76.9%)

45 (84.9%)

2.2

2.0

N/A

N/A

Mean mobility grade 1.6/1.4 (9 grades)

MMSE 8.7/8.9

   

Skinner et al. [37] and Ravikumar et al. [40, 41]

England

1984–1986

Posterolateral

See in b.

89

91

81.03

82.06

N/A

N/A

N/A

N/A

Within 24 h

Within 24 h

N/A

Included patients with dementia

Unknown

Femoral: cemented (Howse II prosthesis); head 32 mm head; acetabular: semi-captive cup

Bipolar; uncemented (Austin Moore)

2 years for Skinner et al. [37]; 13 years for Ravikumar et al. [40, 41]

Sharma et al. [42]

India

2010–2014

Modified Gibson

Two senior arthroplasty surgeons

40

40

78 (3.5)

73 (1.25)

26 (65%)

29 (72.5%)

N/A

N/A

72 h

72 h

N/A

N/A

N/A

N/A

1 year

Sonaje et al. [43]

India

2011–2012

N/A

N/A

21

21

66.4 (3.5)

65.3 (3)

13 (65%)

14 (70%)

N/A

N/A

N/A

N/A

N/A

No psychiatric and neurological disorder

N/A

N/A; bipolar

2 years

Song et al. [44]

China

2003–2012

N/A

N/A

31

31

64.5 (5.8)

65.1 (5.9)

12 (38.71%)

10 (32.26%)

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A; bipolar

1 year

Van den et al. [47] and Tol et al. [46]

Netherlands

1995–2002

Anterolateral; straight lateral; posterolateral

Experienced surgeon or residents with assistant

115

137

82.1 (6.3)

80.3 (6.2)

90 (78%)

115 (84%)

11/48/44/10

19/77/33/5

1(2.25)

1(2.5)

Walk without aids:149

N/A

Sulzer AG/Protek AG

Femoral: cemented (A Weber Rotations prosthesis, Müller Geradschaft prothesis); head 32 mm diameter modular head; acetabular: semi-captive cup

Cemented;

Bipolar;

5 years for Van den2010 and 12 years for Tol2017

  1. aAll but eight operations were directly undertaken or supervised by the lead trialist. Two hemiarthroplasties and two THR’s were undertaken by orthopedic consultants and three hemiarthroplasties and one THR by trainee or staff grade surgeons
  2. bMostly by registers, occasionally by consultants or senior house officers
  3. cSPMSQ Short Portable Mental Status Questionnaire