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A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis

There are three traditional surgical approaches to hemiarthroplasty (HA) for femoral neck fractures, respectively, the anterior approach (AA), the lateral approach (LA) and the posterior approach (PA). However, the optimum approach is still controversial, the purpose of this meta-analysis is to iden...

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Autores principales: Shuai, Liang, Huiwen, Wu, Shihao, Deng, Fangyuan, Wang, Juehua, Jing, Jun, Li
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852338/
https://www.ncbi.nlm.nih.gov/pubmed/36684243
http://dx.doi.org/10.3389/fsurg.2022.1049534
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author Shuai, Liang
Huiwen, Wu
Shihao, Deng
Fangyuan, Wang
Juehua, Jing
Jun, Li
author_facet Shuai, Liang
Huiwen, Wu
Shihao, Deng
Fangyuan, Wang
Juehua, Jing
Jun, Li
author_sort Shuai, Liang
collection PubMed
description There are three traditional surgical approaches to hemiarthroplasty (HA) for femoral neck fractures, respectively, the anterior approach (AA), the lateral approach (LA) and the posterior approach (PA). However, the optimum approach is still controversial, the purpose of this meta-analysis is to identify the merits and demerits of all three approaches. All clinical published studies in PubMed, Web of Science, Embase, and the Cochrane Library from January 2000 to April 2022 were searched which compared different surgical approaches and covered surgery-related outcomes and frequent complications. Five randomized controlled trials and 26 cohort studies for a total of 31 clinical trials were included in the meta-analysis. The dislocation of PA was significantly higher than LA (OR: 3.00 95% CI: 2.25–4.01 I(2) = 27% P < 0.00001) and AA (OR: 6.61 95% CI: 2.28–19.13 I(2) = 0% P = 0.0005); PA was substantially more than LA in terms of risk of postoperative reoperation (P < 0.05); meanwhile, AA has markedly shorter hospital length of stays than LA. The remaining items showed no significant differences in the results.The results of this meta-analysis demonstrated that the risk of PA dislocation and reoperation is higher with hemiarthroplasty, and AA has markedly shorter hospital length of stays than LA.
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spelling pubmed-98523382023-01-21 A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis Shuai, Liang Huiwen, Wu Shihao, Deng Fangyuan, Wang Juehua, Jing Jun, Li Front Surg Surgery There are three traditional surgical approaches to hemiarthroplasty (HA) for femoral neck fractures, respectively, the anterior approach (AA), the lateral approach (LA) and the posterior approach (PA). However, the optimum approach is still controversial, the purpose of this meta-analysis is to identify the merits and demerits of all three approaches. All clinical published studies in PubMed, Web of Science, Embase, and the Cochrane Library from January 2000 to April 2022 were searched which compared different surgical approaches and covered surgery-related outcomes and frequent complications. Five randomized controlled trials and 26 cohort studies for a total of 31 clinical trials were included in the meta-analysis. The dislocation of PA was significantly higher than LA (OR: 3.00 95% CI: 2.25–4.01 I(2) = 27% P < 0.00001) and AA (OR: 6.61 95% CI: 2.28–19.13 I(2) = 0% P = 0.0005); PA was substantially more than LA in terms of risk of postoperative reoperation (P < 0.05); meanwhile, AA has markedly shorter hospital length of stays than LA. The remaining items showed no significant differences in the results.The results of this meta-analysis demonstrated that the risk of PA dislocation and reoperation is higher with hemiarthroplasty, and AA has markedly shorter hospital length of stays than LA. Frontiers Media S.A. 2023-01-06 /pmc/articles/PMC9852338/ /pubmed/36684243 http://dx.doi.org/10.3389/fsurg.2022.1049534 Text en © 2023 Shuai, Huiwen, Shihao, Fangyuan, Juehua and Jun. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Shuai, Liang
Huiwen, Wu
Shihao, Deng
Fangyuan, Wang
Juehua, Jing
Jun, Li
A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis
title A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis
title_full A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis
title_fullStr A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis
title_full_unstemmed A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis
title_short A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis
title_sort comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: a meta-analysis
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852338/
https://www.ncbi.nlm.nih.gov/pubmed/36684243
http://dx.doi.org/10.3389/fsurg.2022.1049534
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