Authors' objectives: This analysis aimed to evaluate the effectiveness of total hip arthroplasty (THA) in comparison to hemiarthroplasty (HA) for the treatment of displaced femoral neck fractures.

Authors' recommendations: On the basis of 2 systematic reviews evaluating the effectiveness of THA in comparison with HA for the treatment of displaced femoral neck fractures, the following conclusions were reached: Based on low quality of evidence, there was a significant reduction in revision rates among patients receiving THA in comparison with HA; Based on low quality of evidence, the total HHS was significantly improved among patients receiving THA in comparison with HA; Alternative hip functional status measures appear to favour THA in comparison with HA for improvements in function, mobility, or pain. Results primarily reflect cognitively intact adults with high pre-fracture mobility and independence and might not represent the effectiveness of THA in comparison with HA among less mobile adults.

Project Status: Completed

Year Published: 2013

URL for published report: http://www.hqontario.ca/Portals/0/Documents/eds/rapid-reviews/hip-anthroplasty-130423-en.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Health Quality Ontario

Contact Address: Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5

Contact Name: EDSinfo@hqontario.ca

Contact Email: OH-HQO_hta-reg@ontariohealth.ca

Copyright: Health Quality Ontario