Early Rehabilitation in Elderly after Arthroplasty versus Internal Fixation for Unstable Intertrochanteric Fractures of Femur: Systematic Review and Meta-Analysis
Journal of Korean Medical Science
; : 858-867, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-156641
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Arthroplasty
/
Rehabilitation
/
Reoperation
/
Mortality
/
Weight-Bearing
/
Arthroplasty, Replacement
/
Femoral Fractures
/
Femur
/
Fracture Fixation
/
Hip Fractures
Type of study:
Controlled clinical trial
/
Prognostic study
/
Systematic review
Limits:
Aged
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2017
Document type:
Article