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J Korean Med Sci. 2017 May;32(5):858-867. doi: 10.3346/jkms.2017.32.5.858.

Early Rehabilitation in Elderly after Arthroplasty versus Internal Fixation for Unstable Intertrochanteric Fractures of Femur: Systematic Review and Meta-Analysis.

Author information

1
Department of Orthopaedic Surgery, School of Medicine, Gyeongsang National University Hospital, Jinju, Korea.
2
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. hayongch@naver.com.
3
Department of Rehabilitation, Seoul National University Bundang Hospital, Seongnam, Korea.
4
Department of Anesthesiology, Chung-Ang University College of Medicine, Seoul, Korea.
5
Department of Orthopaedic Surgery, Inje University College of Medicine, Seoul, Korea.
6
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

Abstract

The purpose of this study was to compare the outcomes focusing on the functional outcome and clinical results of replacement arthroplasty (AP) vs. internal fixation (IF) for the treatment of unstable intertrochanteric femoral fracture in elderly. Systematic review and meta-analysis were performed on 10 available clinical studies (2 randomized controlled trials and 8 comparative studies). Subgroup analysis was performed by type of methodological quality. Partial weight bearing time in AP group was earlier than that in IF group (SMD = -0.86; 95% CI = -0.42, 1.29; P = 0.050). The overall outcomes such as mortality, reoperation rate, and complication showed no significant diffrence between the 2 groups (AP vs. IF). Therefore, this systematic review demonstrates that AP provides superior functional outcomes especially earlier mobilization, as compared to IF in elderly patients with an unstable intertrochanteric femoral fracture.

KEYWORDS:

Arthroplasty; Fracture Fixation; Hip Fractures; Meta-analysis

PMID:
28378562
PMCID:
PMC5383621
DOI:
10.3346/jkms.2017.32.5.858
[Indexed for MEDLINE]
Free PMC Article

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