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Hip Hemiarthroplasty vs Total Hip Arthroplasty for Femoral Neck Fractures: Reverse Fragility of Reoperation Rates in Randomized Controlled Trials.


ABSTRACT:

Background

Total hip arthroplasty (THA) has theoretical advantages and disadvantages over hemiarthroplasty for femoral neck fractures. Numerous studies have suggested equivalent reoperation rates between the procedures. The purpose of this study was to use the reverse fragility index (RFI) to evaluate the statistical robustness of randomized controlled trials (RCTs) reporting nonsignificant differences in reoperation rates between hip hemiarthroplasty and THA for femoral neck fractures.

Methods

Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, all RCTs that compared reoperation rates between THA and hemiarthroplasty for femoral neck fractures were identified. Studies that reported nonsignificant differences in reoperation rates were inc

SUBMITTER: McCafferty J 

PROVIDER: S-EPMC12410168 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature