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学科主题临床医学
Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis
Wang, Jing1; Jiang, Baoguo1; Marshall, Roger J.2; Zhang, Peixun1
刊名INTERNATIONAL ORTHOPAEDICS
2009-10-01
DOI10.1007/s00264-009-0763-8
33期:5页:1179-1187
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics
研究领域[WOS]Orthopedics
关键词[WOS]TOTAL HIP-ARTHROPLASTY ; RANDOMIZED-TRIAL ; PROSTHETIC REPLACEMENT ; SUBCAPITAL FRACTURES ; FOLLOW-UP ; HEMIARTHROPLASTY ; FEMUR ; SCREWS ; OSTEOSYNTHESIS ; EPIDEMIOLOGY
英文摘要

We conducted an up-to-date meta-analysis of 20 eligible randomised controlled trials (RCTs) containing 3,109 patients to compare arthroplasty with internal fixation of displaced femoral neck fractures regarding the effect on clinical outcomes. Computerised databases were searched for RCTs published from January 1979 to May 2008. The results showed that compared to internal fixation arthroplasty led to significantly fewer surgical complications at two and five years postoperatively and reduced the incidence of reoperation at one, two and five years postoperatively (P < 0.001). However, arthroplasty was associated with greater risk of deep wound infection, longer operating time and greater operative blood loss. Arthroplasty substantially increased the risk of reoperation following deep wound infection (P < 0.05). For mortality, there was increased postoperative risk for arthroplasty compared with internal fixation, but there was no statistically significant difference between the two groups at the different follow-up times. For pain at one year postoperatively, the result showed no statistically significant difference.

语种英语
WOS记录号WOS:000270449400002
项目编号2007BAI04B00
资助机构Key Projects in the National Science &amp ; Technology Pillar Program
引用统计
被引频次:24[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67635
专题北京大学第二临床医学院
北京大学第二临床医学院_创伤骨科
北京大学第二临床医学院_党委院长办公室
作者单位1.Peking Univ, Peoples Hosp, Dept Orthoped & Trauma, Beijing 100044, Peoples R China
2.Univ Auckland, Sch Populat Hlth, Auckland 1, New Zealand
推荐引用方式
GB/T 7714
Wang, Jing,Jiang, Baoguo,Marshall, Roger J.,et al. Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis[J]. INTERNATIONAL ORTHOPAEDICS,2009,33(5):1179-1187.
APA Wang, Jing,Jiang, Baoguo,Marshall, Roger J.,&Zhang, Peixun.(2009).Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis.INTERNATIONAL ORTHOPAEDICS,33(5),1179-1187.
MLA Wang, Jing,et al."Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis".INTERNATIONAL ORTHOPAEDICS 33.5(2009):1179-1187.
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