Comparative Treatment Between Total Hip Arthroplasty Versus Hemiarthroplasty for Femoral Neck Fracture in Elderly: A Systematic Review and Meta-analysis

Introduction: Hip fractures are leading cause of disability worldwide, with displaced femoral neck fractures being of particular concern. There’s different opinion about advantages of performing total hip arthroplasty or hemiarthroplasty, recent meta-analysis reported that total hip arthroplasty (THA) was superior to hemiarthroplasty (HA) in terms of reoperations, but inferior in terms of dislocations. Methods: We conducted a literature search of 4 databases to identify randomized controlled trials comparing THA and HA in patients. Focus in this systematic review and meta-analysis is to compare clinical outcome between Hemiarthroplasty versus Total Hip Arthroplasty for Femoral Neck Fracture Results: We found that there is no significant difference statistically. We found no significant difference in the functional outcome between two groups between these two groups in Functional Outcome (Harris Hip Score), EQ-5D outcome, Complication Rate Outcome and Revision Rate Outcome between Total Hip Arthroplasty versus Hemiarthroplasty for Femoral Neck Fracture in elderly. Discussion: The choice of THA or HA in FNF in the active elderly remains uncertain, although different opinion has been reported, in our systematic review, no significant difference was found in the functional outcome between two groups measured with Conclusion: There was no differences on functional outcome and EQ-5D between Total Hip Arthroplasty and Hemiarthroplasty on Femoral Neck Fracture in elderly Key words: [Total Hip Arthroplasty, Hemiarthroplasty, Femoral Neck Fracture].