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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, Brasil
tajmspr 2025
VOL. 7 / NO. 03 MARCH
VOLUME 7
ISSUE 03
YEAR 2025
PAGES 6-12

Abstract

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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