人工髋关节置换治疗老年股骨颈骨折的Meta分析

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1、•7®•Correspondingnui£or:SHANGBrett-long,f’ef:tXI86-21-643b9t8l-8101,£moif;zsl40Gnip.tins.com[Abstract]Ob)ectfveToanalyzetheliteraturesonartluoplaatytreatingfemoralneck6actureintheelderlysoaatoevaluatethevelueofartluoplastyintreatingfemomlneckfractureintheelderly.MethodsTheliteraturespu

2、blishedfroai1991to2fO7onerihmplaatyabatingfemoralneckfractureiiitheelderlywereretrievedviaPubMEDandOviddatabasetocomparethemortality,dislocation,revisionandHarriasoureaftero(mration.Theheterogeneityweatcatedendthedatadealtbyucta-enal)'ais.Then,wecalculatedtheORvalueand9596confidenceint

3、erval.RuultsTheatud7'ºCl1tded10relatedpa-persinvolvinghemi-arthroplaaty(III)ar×ltotalhiparthroplaaiy(THA)treatingfemoralneckfractureintheelderly.ThemwasnostatisticaldifferencebetweenHAandTHAinaspectofmortality.Noheteroge-neityexistedindislocationandrevision,withthevalueof4.05end2.78res

4、pectively(I'>0.I).THAhadahighdislc×:aéonratebutlowerincidenceofrevision,incoaipariaonwithHA.TheheterogeneityitHarrisecoreweeconfirmedwiththeQvelueof23.94(F’<0.1),withrelativerisk(RR)of0.79,ORof0.35and9596CIof0.23-0.53.CoaclualooaAsfortripfunctionrecovery,THAisbetterthanfre-an-arihmplaa

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