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Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis

PURPOSE: This study was conducted to compare cemented and cementless bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures via meta-analysis and systematic review of relevant studies. MATERIALS AND METHODS: Systematic review and meta-analysis were performed on 31 ava...

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Autores principales: Yoo, Jun-Il, Cha, Yong-Han, Kim, Kap-Jung, Kim, Ha-Yong, Choy, Won-Sik, Hwang, Sun-Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Hip Society 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284077/
https://www.ncbi.nlm.nih.gov/pubmed/30534543
http://dx.doi.org/10.5371/hp.2018.30.4.241
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author Yoo, Jun-Il
Cha, Yong-Han
Kim, Kap-Jung
Kim, Ha-Yong
Choy, Won-Sik
Hwang, Sun-Chul
author_facet Yoo, Jun-Il
Cha, Yong-Han
Kim, Kap-Jung
Kim, Ha-Yong
Choy, Won-Sik
Hwang, Sun-Chul
author_sort Yoo, Jun-Il
collection PubMed
description PURPOSE: This study was conducted to compare cemented and cementless bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures via meta-analysis and systematic review of relevant studies. MATERIALS AND METHODS: Systematic review and meta-analysis were performed on 31 available clinical studies; 19 of these studies used cemented stems, 12 used cementless stems, one used both types of stems, and two studies involved a comparative analysis of both stem types. RESULTS: There were statistically significant differences in rates of leg length discrepancy (LLD) greater than 1 cm between the cemented (event rate, 0.089) and cementless groups (event rate, 0.015 and 0.047; P=0.03). CONCLUSION: Cemented bipolar hemiarthroplasty and cementless bipolar hemiarthroplasty performed on elderly patients with unstable intertrochanteric fracture revealed similar mortality and complication rates; however, the rate of LLD greater than 1 cm was significantly higher in the cemented group compared with the cementless group.
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spelling pubmed-62840772018-12-10 Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis Yoo, Jun-Il Cha, Yong-Han Kim, Kap-Jung Kim, Ha-Yong Choy, Won-Sik Hwang, Sun-Chul Hip Pelvis Original Article PURPOSE: This study was conducted to compare cemented and cementless bipolar hemiarthroplasty in elderly patients with unstable intertrochanteric fractures via meta-analysis and systematic review of relevant studies. MATERIALS AND METHODS: Systematic review and meta-analysis were performed on 31 available clinical studies; 19 of these studies used cemented stems, 12 used cementless stems, one used both types of stems, and two studies involved a comparative analysis of both stem types. RESULTS: There were statistically significant differences in rates of leg length discrepancy (LLD) greater than 1 cm between the cemented (event rate, 0.089) and cementless groups (event rate, 0.015 and 0.047; P=0.03). CONCLUSION: Cemented bipolar hemiarthroplasty and cementless bipolar hemiarthroplasty performed on elderly patients with unstable intertrochanteric fracture revealed similar mortality and complication rates; however, the rate of LLD greater than 1 cm was significantly higher in the cemented group compared with the cementless group. Korean Hip Society 2018-12 2018-12-06 /pmc/articles/PMC6284077/ /pubmed/30534543 http://dx.doi.org/10.5371/hp.2018.30.4.241 Text en Copyright © 2018 by Korean Hip Society http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoo, Jun-Il
Cha, Yong-Han
Kim, Kap-Jung
Kim, Ha-Yong
Choy, Won-Sik
Hwang, Sun-Chul
Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis
title Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis
title_full Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis
title_fullStr Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis
title_full_unstemmed Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis
title_short Comparison between Cementless and Cemented Bipolar Hemiarthroplasty for Treatment of Unstable Intertrochanteric Fractures: Systematic Review and Meta-analysis
title_sort comparison between cementless and cemented bipolar hemiarthroplasty for treatment of unstable intertrochanteric fractures: systematic review and meta-analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284077/
https://www.ncbi.nlm.nih.gov/pubmed/30534543
http://dx.doi.org/10.5371/hp.2018.30.4.241
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