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KMID : 0191120170320050858
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Journal of Korean Medical Science
2017 Volume.32 No. 5 p.858 ~ p.867
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Early Rehabilitation in Elderly after Arthroplasty versus Internal Fixation for Unstable Intertrochanteric Fractures of Femur: Systematic Review and Meta-Analysis
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Yoo Jun-Il
Ha Yong-Chan
Lim Jae-Young
Kang Hyun
Yoon Byung-Ho
Kim Hyun-Ho
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Abstract
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The purpose of this study was to compare the outcomes focusing on the functional outcome and clinical results of replacement arthroplasty (AP) vs. internal fixation (IF) for the treatment of unstable intertrochanteric femoral fracture in elderly. Systematic review and meta-analysis were performed on 10 available clinical studies (2 randomized controlled trials and 8 comparative studies). Subgroup analysis was performed by type of methodological quality. Partial weight bearing time in AP group was earlier than that in IF group (SMD = ?0.86; 95% CI = ?0.42, 1.29; P = 0.050). The overall outcomes such as mortality, reoperation rate, and complication showed no significant diffrence between the 2 groups (AP vs. IF). Therefore, this systematic review demonstrates that AP provides superior functional outcomes especially earlier mobilization, as compared to IF in elderly patients with an unstable intertrochanteric femoral fracture.
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KEYWORD
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Arthroplasty, Fracture Fixation, Meta-analysis, Hip Fractures
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