Zamora-Muñoz PM, Molina-López JF, Cruz-Miranda ?, Rivas-Ruiz R

Language: Spanish
References: 10
Page: 86-90
PDF size: 251.62 Kb.

ABSTRACT

Introduction: Open reduction and internal fixation and total hip arthroplasty are the common techniques of femoral neck fractures treatment in elderly patients. Nevertheless, there is a controversy about long term mortality between both treatment modality. The purpose of the present study is to determine which treatment has lower long term mortality at five years in elderly patients with hip fracture. Material and methods: We perform an electronic search at PubMed (MEDLINE) database of papers published until August 2020. Seven clinical trials that compare internal fixation vs hip arthroplasty were included. For meta-analysis the RevMan 5.4 form Cochrane collaboration was used. The heterogenicity between studies were evaluated with I-squared (I²) and the graphics and calculus were performed with forest plot and funnel plot for bias publication. Results: There is a less mortality at five years for THA vs ORIF (45.2% vs 49.3%; RR = 0.82; CI 95% 0.68-0.98). The heterogenicity was I² = 65% (p < 0.05), so an aleatory analysis method was performed. The funnel plot analysis showed a bias publication in two studies toward more mortality risk in THA. Conclusions: Total hip arthroplasty has lower mortality rate at five years compared with internal fixation.

REFERENCES

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EVIDENCE LEVEL

III