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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
5、iyendTItshouldbethefruitchoiceforfemomlneckfracture.However,forpatientswhocannottolerateojmationorhaveanticipatedlifeapartlcaathen5years,heart-•rthroplastyahouldlvcho-•7®•«"'.«sx«sat«eT«ns«es8fB&M&&.›8ACardeci-ro,«s«a»9a.aas×zae+osaeasax,Laa,T+to.«xaoxrao,v×n,sa.vas×±txx«a9l..v.aeas9a9
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7、nS.ctal'•KittiJ.etat''RogrnarkC.etat"MarkinF,ctal'²UKY1?«-I3.02(0.37,24.85)4.4I(I.69,11.49)3.65(0.72,l8.57)3.33(0.12.93.83)6.69(0.77,56.30)59Cbi-2.78df-1(P-0.73)Z=5.03(P<:0.QDJI)heatingJD,ctal•BloinfeldtR,cta1*I.36(0.39,4.80)0.98(0.43.2.26)0.72(0.23.2.08)ae+,gnawu==aac«apww.•p»•Tz+