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学科主题: 临床医学
题名:
Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis
作者: Wang, Jing1; Jiang, Baoguo1; Marshall, Roger J.2; Zhang, Peixun1
刊名: INTERNATIONAL ORTHOPAEDICS
发表日期: 2009-10-01
DOI: 10.1007/s00264-009-0763-8
卷: 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
所属项目编号: 2007BAI04B00
项目资助者: Key Projects in the National Science &amp ; Technology Pillar Program
WOS记录号: WOS:000270449400002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67635
Appears in Collections:北京大学第二临床医学院_期刊论文

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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

Recommended Citation:
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.
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