Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (13): 1954-1960.doi: 10.3969/j.issn.2095-4344.2016.13.018

Previous Articles     Next Articles

A meta-analysis of arthroplasty versus internal fixation in treatment of intertrochanteric fracture in the elderly

Sun You-qiang1, Shao Min2, He Wei3, Hu Qun-sheng1, Chen Lei-lei3, Yu Xiang1   

  1.  (1Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 2Department of Orthopedics, Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong Province, China; 3Hip Joint Center, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Received:2016-02-14 Online:2016-03-25 Published:2016-03-25
  • Contact: Shao Min, M.D., Chief physician, Professor, Doctoral supervisor, Department of Orthopedics, Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong Province, China Corresponding author: He Wei, M.D., Chief physician, Professor, Doctoral supervisor, Hip Joint Center, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • About author:Sun You-qiang, Studying for doctorate, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China

Abstract:

BACKGROUND: Intertrochanteric fracture is one of the most common fractures in older adults. The surgical treatment methods include artificial joint replacement (total hip and femoral head replacement) and internal fixation (proximal femoral nail anti-rotation and dynamic hip screw), but there is no clear evidence to evaluate the effect of them. 
OBJECTIVE: To compare the effect difference of arthroplasty and internal fixation in the treatment of intertrochanteric fracture in the elderly people.
METHODS: We retrieved randomized controlled studies on artificial joint replacement (total hip and femoral head replacement) and internal fixation (proximal femoral nail anti-rotation and dynamic hip screw) in the treatment of intertrochanteric fracture from 1990 to 2015. Meta-analysis was used to compare operation time, intraoperative bleeding volume, one-year postoperative Harris hip scores, and one-year postoperative complication between the arthroplasty and internal fixation.
RESULTS AND CONCLUSION: (1) Twenty-one studies were included. (2) Intraoperative bleeding volume and one-year postoperative Harris hip scores were higher in the arthroplasty group than in the internal fixation group. (3) Operation time was similar between the arthroplasty and internal fixation groups. (4) Complication rate was lower in the arthroplasty group than in the internal fixation group. Incidence of complications was closed between the arthroplasty and internal fixation groups. (5) Results suggested that the effect of arthroplasty was better than internal fixation for treating intertrochanteric fracture in the elderly. However, prospective large-sample long-term randomized controlled trials are needed for verification.