Total hip arthroplasty versus hemiarthroplasty for independently mobile older adults with intracapsular hip fractures.

ABSTRACT:

Background

Displaced intracapsular hip fractures are typically treated with hemiarthroplasty (HA) or total hip arthroplasty (THA). A number of professional bodies recommend considering THA for patients that were independently mobile and cognitively intact before injury. The aim of this study was to compare the outcomes between HA and THA for independently mobile older adults with hip fractures.

Methods

A systematic review and meta-analysis of RCTs was undertaken alongside analysis of a propensity score matched national cohort of older adults (aged > 60) with hip fractures. Participants were identified for the propensity score matched cohort from the National Hip Fracture Database (NHFD), which was linked to Hospital Episode Statistics (HES) and civil death registration data.

SUBMITTER: Metcalfe D 

PROVIDER: S-EPMC6525472 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature