A meta-analysis of proximal femoral nail antirotation and total hip arthroplasty for treating intertrochanteric fractures in the elderly

doi:10.3969/j.issn.2095-4344.2016.04.026

Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (4): 602-607.doi: 10.3969/j.issn.2095-4344.2016.04.026

A meta-analysis of proximal femoral nail antirotation and total hip arthroplasty for treating intertrochanteric fractures in the elderly

Abulimiti•Amuti, Liu Li-guo, Yan Bin, Xu Chao

Department of Orthopedics, Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China

Received:2015-11-07 Online:2016-01-22 Published:2016-01-22
Contact: Liu Li-guo, Studying for master’s degree, Department of Orthopedics, Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
About author:Abulimiti?Amuti, Master, Associate chief physician, Department of Orthopedics, Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China

Abstract

Abstract:

BACKGROUND: Now, the current study has not yet confirmed two treatment methods of the proximal femoral nail antirotation and total hip arthroplasty for treating intertrochanteric fractures in the elderly, which method has more advantages, and there is no clear conclusion at present.
OBJECTIVE: To systematically compare the repair effect of proximal femoral nail antirotation and total hip arthroplasty for treatment of intertrochanteric fractures in the elderly.
METHODS: We searched the related literatures from 2011 to 2015 on Wanfang database, PubMed, MEDLINE and Embase database by computer. We retrieved the journals in China by hand and collected randomized controlled trials on proximal femoral nail antirotation and total hip arthroplasty in the treatment of intertrochanteric fractures in the elderly. Intraoperative blood loss, operation time, hospitalization time, ambulation time after operation, and Harris score were selected as evaluation indexes. Data were analyzed using RevMan 5.2 software.
RESULTS AND CONCLUSION: Finally, 7 Chinese literatures were included, with 811 patients. The results of meta analysis showed that the hospitalization time and ambulation time after operation were significantly shorter in the total hip arthroplasty group than in the proximal femoral nail antirotation group (P < 0.000 01), which reduced the pain of patients. Operation time and intraoperative blood loss were poorer in the total hip arthroplasty group than in the proximal femoral nail antirotation group (P < 0.000 01). No significant difference in Harris hip score was detected between the two groups (P > 0.05). These results confirmed that the internal fixation of proximal femoral nail antirotation in minimally invasive therapy when reducing operation time and blood loss has a certain advantage. The total hip arthroplasty can make the recovery of hip function earlier, allow early weight-bearing walking, reduce the patients’ bedridden time and reduce the complications in bed. Thus, the clinicians in the practical work should choose the appropriate therapy with considering the patient’s condition, damage degree, fracture type, and financial capability.

Abulimiti•Amuti, Liu Li-guo, Yan Bin, Xu Chao . A meta-analysis of proximal femoral nail antirotation and total hip arthroplasty for treating intertrochanteric fractures in the elderly[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(4): 602-607.

Figures/Tables 6

References

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A meta-analysis of proximal femoral nail antirotation and total hip arthroplasty for treating intertrochanteric fractures in the elderly

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