Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Nikitovic M. Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures: a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives This analysis aimed to evaluate the effectiveness of total hip arthroplasty (THA) in comparison to hemiarthroplasty (HA) for the treatment of displaced femoral neck fractures.
Authors' conclusions On the basis of 2 systematic reviews evaluating the effectiveness of THA in comparison with HA for the
treatment of displaced femoral neck fractures, the following conclusions were reached:
Based on low quality of evidence, there was a significant reduction in revision rates among patients receiving THA in comparison with HA;
Based on low quality of evidence, the total HHS was significantly improved among patients receiving THA in comparison with HA;
Alternative hip functional status measures appear to favour THA in comparison with HA for improvements in function, mobility, or pain.
Results primarily reflect cognitively intact adults with high pre-fracture mobility and independence and might not represent the effectiveness of THA in comparison with HA among less mobile adults. Indexing Status Subject indexing assigned by CRD MeSH Arthroplasty, Replacement, Hip; Femoral Neck Fractures; Humans Language Published English Country of organisation Canada English summary An English language summary is available. Address for correspondence Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca AccessionNumber 32014001047 Date abstract record published 09/09/2014 |