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DOI: Total arthroplasty and hemiarthroplasty in the treatment of hip fractures: a systematic review with meta-analysis
Bianca Gabriella de Oliveira , Médica pela Universidade Salvador-UNIFACS, Salvador, BA, Brasil Rennan Martins da Cruz , Médico residente em Ortopedia e Traumatologia do Centro Médico de Campinas, Campinas, SP Jorge Rangel Zilli , Médico residente em Ortopedia e Traumatologia do Hospital Regional da Ceilândia, Brasília, DF Pedro Henrique Ribeiro de Oliveira , Médico residente em Ortopedia e Traumatologia do Hospital Regional da Ceilândia, Brasília, DF Igor Santana Franco Amaral , Médico residente em Ortopedia e Traumatologia do Centro Médico de Campinas, Campinas, SP Marcella Rodrigues Costa Simões , Universidade Federal de Minas Gerais, Belo Horizonte, MG, BrasilAbstract
Objective: To analyze the effectiveness of hemiarthroplasty compared to total arthroplasty in the treatment of hip fractures. Methodology: Systematic literature review, with a quantitative and qualitative approach to the data collected, which was structured according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA): “total hip arthroplasty” and ‘hemiarthroplasty’ with ‘AND’ and ‘OR’ combinations. Results: The five articles selected evaluated the effectiveness of hemiarthroplasty and total hip arthroplasty techniques using the WOMAC score, Harris Hip Score (HHS), SF-36 (Short Form Health Survey 36) and/or Visual analogue scale (VAS). Total arthroplasty showed better results in most studies (p<0.01). Conclusion: Total arthroplasty was considered the procedure of choice, especially for active elderly patients.
Keywords
Arthroplasty Replacement Hip, Hemiarthroplasty, Hip Fractures
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Copyright (c) 2025 Bianca Gabriella de Oliveira, Rennan Martins da Cruz, Jorge Rangel Zilli, Pedro Henrique Ribeiro de Oliveira, Igor Santana Franco Amaral, Marcella Rodrigues Costa Simões
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