Comparison of Postoperative Infection-Related Complications between Cemented and Cementless Hemiarthroplasty in Elderly Patients: A Meta-Analysis
Clinics in Orthopedic Surgery
;
: 145-152, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-202496
ABSTRACT
BACKGROUND:
The purpose of this review was to assess the risk of infection-related complications following cemented and cementless hemiarthroplasty in elderly patients.METHODS:
We searched PubMed, EMBASE, and Cochrane Library databases for published randomized clinical trials comparing cemented hemiarthroplasty with cementless hemiarthroplasty in patients with a femoral neck fracture and more than 65 years of age. Eight randomized controlled trials were available for analysis. A meta-analysis (with a fixed-effects model) and a meta-regression analysis (with continuous variables) were performed.RESULTS:
The 8 trials included 1,204 hips (608 cemented and 596 cementless). There was no significant difference between the cemented and cementless groups regarding the incidence of deep infection, superficial infection, pneumonia, and urinary tract infection. The overall incidence of postoperative deep infection was 2.3% (14/608) in the cemented group and 1.2% (7/596) in the cementless group (relative risk, 1.74; 95% confidence interval, 0.74 to 4.14; I² = 0%; p = 0.206). No publication bias was found in the funnel plot.CONCLUSIONS:
Results of our meta-analysis suggest that when selecting a fixation method for hemiarthroplasty, infection-related postoperative complications are not the determinant factor to consider.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Complicaciones Posoperatorias
/
Infecciones Urinarias
/
Incidencia
/
Sesgo de Publicación
/
Fracturas del Cuello Femoral
/
Hemiartroplastia
/
Cadera
/
Complicaciones Intraoperatorias
/
Métodos
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio de etiología
/
Estudio de incidencia
/
Estudio pronóstico
/
Revisiones Sistemáticas Evaluadas
Límite:
Anciano
/
Humanos
Idioma:
Inglés
Revista:
Clinics in Orthopedic Surgery
Año:
2017
Tipo del documento:
Artículo
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