人工髋关节置换治疗老年股骨颈骨折的Meta分析.docx

7 Corresponding nuior: SHANG Brett-long, fef :tXI86-21 -643b9t8l-8101 , moif ;zsl40G nip. tins. com Abstract Ob)ectfve To analyze the literatures on artluoplaaty treating femoral neck 6acture in the elderly so aa to evaluate the velue of artluoplasty in treating femoml neck fracture in the elderly. Methods The literatures published froai 1991 to 2fO7 on erihmplaaty abating femoral neck fracture iii the elderly were retrieved via PubMED and Ovid database to compare the mortality, dislocation , revision and Harria soure after o(mration. The heterogeneity wea tcated end the data dealt by ucta-enal)ais. Then, we calculated the OR value and 9596 confidence interval.Ruults The atud7 Cl1tded 10 related pa-pers involving hemi-arthroplaaty ( III) arl total hip arthroplaaiy ( THA ) treating femoral neck fracture inthe elderly. Them was no statistical difference between HA and THA in aspect of mortality. No heteroge- neity existed in dislocation and revision, with the value of 4. 05 end 2. 78 respectively (I 0. I ) . THA had a high dislc:aon rate but lower incidence of revision , in coaipariaon with HA. The heterogeneity it Harris ecore wee confirmed with the Q velue of 23. 94 ( F o 1. 51 ,957o ax,vsxvaa eaa,ua seaa,issaaein.(9 6 8C 0) 16 I(11 9 50 OJ 5 06T/#Gebhard JS. et eJ Ben 5. et aLRogrcark C. et atKN. .Blomfelck R. et al387 OR91CTA tdBGM=4.M B-6 (R=0.d7) B.($BMZ=2 07 (F=0.04)Mbll6td JS. ct alBen S. ct alKi tti J. et at Rogrnark C. et at Markin F, ct alUKY1?-I3. 02 (0. 37, 24. 85)4. 4 I ( I .69, 11 . 49)3.65 (0. 72, l8. 57 )3. 33 (0. 12.93. 83)6.69 (0. 77, 56. 30)59Cbi-2. 78 df-1 (P-0. 73) Z=5 . 03 (P:0. QDJI )heating JD, ct al Bloinfeldt R, ct a1*I . 36 (0.39, 4. 80)0. 98 (0.43. 2. 26)0. 72 ( 0. 23 .2.08)ae+,gnaw u= aacapw w.pTz+enaa+aetsne, xgnsaeaeanesap,-naaan, ss x ncasl xn:ix.ana“ eaaz+aa + 713 ning ends,/xaaea xn r, va sJPbNed lii aa aaafxassienr e/xsaxass. xsse. oR ae ci z,n,. EOM5, 209&, !4(5)M7 -293. MgeekC,ohO.sMmpWfhmimmMpl cnnt. lJnfsllcliirurg, 2103, IU(6) :467 -471. Bbndsri it , Deverusux PJ, Tomcita P, ct 1. Operative mnnaga-am uf displaced fcamsl ink bwturm in elderly pattern. An in2122 -2130. Guyait GH, Sinclair I, Cmk D, ct at. Usrs guides to the medi- cal literature XYl. thee to up s trmtmcat recommendation. Evi- Gillespie J. Extracts from clinical evidence: hip frsciurs.BMI, 2DI , 322(7292) :965 973. Blondsldt R, Tcriikriat H, Erikaun K, ci st. A randomised fleeting JE, Grsnt A, Nssea M , at at. Rsndoiniml oompnrimn i:ieducfion and fixti i , bipolar hcmianhroplsty, nd tinl Itip miy, 2tXD, 31 ( 10) i793 -797.mc -IsmPmmpcvccd z4Nd7. lnju),2(D5,d(7):B42 - Gddiaid JS, An tua HC , Zinar DM , a l. A ciigmiii if met hip arJ hcmiariluoplmty for i iiiirit tit mute b:rum of the fem- oral wk. Clin Orthip, 1992, (282 ) ; 123 - 131. Esrthik N , Tlinas G. Functimal otters i4 buctui no:k if fe- mm truaioi with total trip icplm:cnieni vemua bi(olnr erthmplaaty in a South Aian jipulfimi. Amh Orthop Trauma Surg, 2IXJ6, 126(8 ) :345 -558. Bsker RP, Squirm B, Gargan MF, ci at. Trial hip erthroplaaiy and bcrniartluxplasty in aibi1e , independent patients with a dis- placed intzuce(sular frs:ture of the fcuaI no:k. A iariliriiml, controlled tiisl. I Bane Joint Surg ( his) , 2106 , 88 ( 12) :2583, Rcginark C . Csrlmon B, Jolmcll O, ct l. A pmapcctive random- ml trial i:4 internal fixation reraua arthmplaaiy for displaced bee- bindof the femur functional mitconm lot 430 94ti tt st two years. I Baie Joint Surg ( Br) , 22, 84( 2) :183 - 188. kxio R, Schwartz B. ltscaiday w, at st. Sur$icel trcammt ifdisplaced feaiial rig:k be:turn in the elderly i a aimcy of the A-14 rarliiisol atudica with 2289 patients. Acta Orthop, 2OXi, 77(3 ) :359 367. Rnia FJ . Chapman CB , Hcrrcra MF, a st. Unipolar or bipolar hcoiiarthroplasiy for fcne1 wk lectures in the elderly? Clin Or- thop, 2tD3, (414) :259 265. $hen B , Yeng J , Per FX. Revisimi total hip arihmplaaty fa the(20) :1407 - 1410. Tidri ar J, Bcrgt m C. Rcsponaivenw of the EuroQol ( EQ Orthop. 2fX6 , (442) :230 -238. Bhandari hf , Gisnnoudia PY. Evidence - bucd medicine i what iiia arl kat it ia r8:. Jnjcry . 2IXM , 37(4) :302 306. Stcn JA, /LLrii P, SchuJz EE, ct l. StadaticaJ rrthxJs foe a- ring the iidlucncs of eiudy chsincterieucs ii trcstient c8ccta in meta cpidoaiologicslimearch. Stat hfl , 2tO2,2l ( 11 ) :1313pleccd intracapsular fxuture tit the pruxinial femur. A jr tive, randiniaed tril in patients agpd 65 to 79 ymia. I 8mie Jona Surg ( Br) , 20Jl , 83(2) ; 2f6 212. Parker M , Pryor G. Internal fixation or arthroplaaiy for dieplacl corneal hip fracture in the elderly: a iaiidomiz l oonml1l tzial of 208 pattern. Acta Orthop Scand . 2OD, 71 (5) ;440 446. Tideruirk I. Poner S, Svciiain O, ct l. Internal fixatimi cor-turn in the elderly. A mndomizo , controlled trisl. J Bone JoizSurg ( Br) , 2fD3 , 85( 3 ) : 380 388. Dctaky AS , Nayln CD , O 4lourkc E. lift:Ger variations in thequality of individual. J Clin Epideminl , 1992, 45 ( 3 ) ; 255 Tidcnnerk J. Qualiiy cif life end fcaal risk baciurm. Acts Or-thop Scand , 2fD3 , 74 Suppl: 1 -42. Bliaridri M, Dcvcmaux PJ, Tomciin P 3rd, a st. Qwiave aisnagi of diaplao1 femoral wk Martins in sldcdy jm cnis: an international aurvcy. I &ne Joint Surg ( Am) , 2fO5 , 87 (9) :2l22 -2130. ase u. 0rau PJ, siuiiLiui uF, i st. iimiai as-sist compared with arihriplaaiy for displmed bmiurm of the for- cal risk : a met - analysis. J Baie Joint Surg ( Ant) , 23, 85 A (9) :1673 - 1681. lone R, Hesly L, Lees DC, a st. Diapls:ed fsaxaI neeL in the elderly; utcoas and cci effective. Clui O人工髋关节置换治疗老年股骨颈骨折的Meta分析作者：顾剑华， 沈灏， 陈云苏， 张先龙， GU Jian-hua， SHEN Hao， CHEN Yun-su， ZHANG Xian-long作者单位：顾剑华,GU Jian-hua(上海交通大学附属第三人民医院骨科)， 沈灏,陈云苏,张先龙,SHEN Hao,CHEN Yun-su,ZHANG Xian-long(上海交通大学附属第六人民医院骨科,200233)刊名：中华创伤杂志英文刊名：CHINESE JOURNAL OF TRAUMA年，卷(期)：2008,24(9)被引用次数：2次参考文献(36条)1. Gurusamy K;Parker MJ;Rowlands TK The complications of dis-placed intracapsular fractures of the hip:the effect of screw positio-ning and anggulation on fracture healing 2005(05)2. Macaulay W;Pagnotto MR;Iorio R Displaced femoral neck fractures in the elderly:hemiarthroplasty versus total hip arthroplas-ty外文期刊 2006(05)3. Rogmark C;Johnell O Primary arthroplanty is better than internal fixation of displaced femoral neck fractures:a meta-analysis of 14 randomized studies with 2289 patients外文期刊 2006(03) 4.Schleicher I;Kerdelle J;Jurgansan I Femoral neck frec-turee in the elderly-bipolar hemiarthroplasty in total hip re-placement 2003(06)5. Bhandari M;Devereaux PJ;Tometta P Operative manage-ment of displaced femoral neck fractures in elderly patients.An in-ternational survey 2005(09)6. Guyatt GH;Sinclair J;Cook D Users guides to the medi-cal literature:XVI.How to use a trestment recommendation.Evi-dence-Based Medicine Working Group and the Cochrane Applica-bility Methods Working Group 1999(19)7. Gillespie WJ Extracts fromclinical evidence:hip fracture外文期刊 2001(7292) 8.Blomfeldt R;Tornkvist H;Eriksson K A randomised con-trolled trial comparing bipolarhemiarthroplasty with total hip re-placement for displaced intracapsular fractures of the femoral neck in elderly patients外文期刊 2007(02)9. Keating JF;Grant A;Masson M Randomized comparison of reduction and fixation,bipolar hemiarthroplesty,and total Hip ar-throplasty 2006(02)10. Squiresa B;Bannister G Displaced intracapsular neck of femur fractures in mobile independent patients:total hip replacement or hemiarthroplasty? 1999(05)11. Ravikumar KJ;Marsh G Internal fixation versus hemiarthroplasty varsus total hip arthroplasty for displaced subcapital fiactures of femur-13 year results of a prospective randomised study外文期刊 2000(10)12. Floren M;Lester K Outcomes of total hip arthroplasty and contra-lateral bipolar hemiarthroplasty2003(03)13. Haentjens P;Autier P;Barette M Predictors of functional outcome following intracapsular hip fracture in elderly women A one-year prospective cohort study外文期刊 2005(07)14. Cebhard JS;Amstutz HC;Zinar DM A comparison of total hip and hemiarthroplasty for treatment of acute fracture of the fem-oral noek 1992(182)15. Kazthik N;Thomas G Functional outcome of fracture neck of fe-mur treated with total hip replacement versus bipolar arthroplasty in a South Asian population外文期刊 2006(08)16. Baker RP;Squires B;Gargan MF Total hip arthroplasty and hemiarthroplasty in mobile,independent patients with a dis-placed intzaeapsular fracture of the femoral neck.A randomized,controlled trial 2006(12)17. Rogmark C;Carlsson B;Johnell O A prospective random-ised trial of internal fixation versus arthroplasty for displaced frac-tures of the neck of the femur functional outcome for 450 patients at two years外文期刊 2002(02)18. Iorio R;Schwartz B;Macaulay W Surgical treatment of displaced femoral neck fractires in the elderly:a survey of the A-merican Association of Hip and Knee Surgeons 2006(08)19. Rogmark C;Johnell O Primary arthroplasty is better than internal fixation of displaced femoral neck fractures:a meta-analysis of 14 randomized studies with 2289 patients外文期刊 2006(03) 20.Raia FJ;Chapman CB;Herrera MF Unipolar or bipolar hemiarthroplasty for femoral neck fractures in the eldedy? 2003(414)21. Shen B;Yang J;Pei FX Revision total hip arthroplasty for the failed hemiarthroplasty期刊论文-Zhonghua Waike Zazhi 2006(20)22. Tidermark J;Bergstrom G Responsiveness of the EuroQol(EQ-5D)and the Nottingham Health Profile(NHP) in elderly patients with femoral neck fractures外文期刊 2007(02) 23.Figved W;Norum OJ;Frihagen F Interprosthetic disloea-tions of the Charnley/Hastings hemiarthroplasty-report of 11 cases in 350 consecutive patiens 2006(02)24. Sierra RJ;Sehleek CD;Cabanela ME Dislocation of bipolar hemiarthroplasty:rate,contributing factors,and outcome外文期刊 2006(442)25. Bhandari M;Giannoudis PV Eridence-based medicine:what it is and what it is not 2006(04) 26.Sterne JA;Juni P;Sehulz KF Statistical methods for as-sessintg the influence of study characteristics on treatment effcets in meta-epidemioiogical research 2002(11)27. Blettner M;Sauerbrei W;Sehlehofer B Traditional re-views,meta-analyses and pooled analyses in epidemiology外文期刊 1999(01)28. Moher D;Cook DJ;Eastwood S Improving the query of reports of meta-analyses of randomized controlled trials 1999(9193)29. Davison JN;Calder SJ;Anderson GH Treatment for dis-placed intracapsular fracture of the proximal femur.A prospec-tive,randomized trial in patients aged 65 to 79 years外文期刊 2001(02)30. Parker M;Pryor G Internal fixation or arthroplasty for displaced cervical hip fractures in the elderly:a randomized controlled trial of 208 patients外文期刊 2000(05)31. Tidermark J;Ponzer S;Svensson O Internal fixation com-pared with total hip replacement for displaced femoral neck frac-tures in the elderly.A randomized,controlled trial外文期刊 2003(03) 32.Detsky AS;Naylor CD;O Rourke K McGeer variations in the quality of individual外文期刊 1992(03) 33.Tidermark J Quality of life and femoral neck fractures外文期刊 2003(zk)34. Bhandari M;Devereaux PJ;Tornetta P 3rd Operative management of displaced femoral neck fracturesin elderly pa-tients:an international survey 2005(09)35. Bhandari M;Devereaux PJ;Swiontkowski MF Internal fix-ation compared with arthroplasty for displaced fractures of the fem-oral neck:a meta-analysis 2003(09)36. Iorio R;Healy