摘要
ObjectiveTotal 新潮的关节造形术(THA ) 和 hemiarthroplasty (哈) 有效方法当前被用来在老病人对待大腿骨的颈骨折，但是二种选择超过 70 岁在病人仍然保持争论。我们的学习的主要目的是决定是否 THA 或哈大腿骨的破裂的优异治疗在是超过 70 年 age.MethodsA 的病人正在包含代替的颈 Medline ( 1970-2011 )的基于计算机的联机搜索， PubMed ( 1977-2011 )，并且控制试用( 2002-2011 )的 Cochrane 中央收款机被进行。有 739 个病人的一个总数的六相关使随机化的控制试用为最后的分析被包括。分析与与 THA 相比发现那的软件 RevMan 5.0 .ResultsWe 被执行，哈需要的更短的平均时间和失去的更少血。当时在长期的后续上， THA 病人显著地展出了更少的疼痛和更好的功能并且多半是更少要求一个修订臀部手术。手术后的感染是同等地普通的在之中哈并且在结果的重要差别建议的 THA patients.ConclusionsThe 那 THA 是为 activeelderly 新潮的破裂个人的一种珍贵治疗选择。然而，更老，损害或使制度化的病人得益于哈。
Objective： Total hip arthroplasty （THA） and hemiarthroplasty （HA） are effective methods currently used to treat femoral neck fracture in elderly patients, but the two options remain controversial in patients over 70 years old. The main purpose of our study was to determine whether THA or HA is a superior treatment of femoral fractures involving a displaced neck in patients who are over 70 years of age. Methods： A computer-based online search of Medline （1970-2011）, PubMed （1977-2011）, and the Cochrane Cen- tral Register of Controlled Trials （2002-201 l） was conducted. Six relevant randomized controlled trials with a total of 739 patients were included for the final analysis. The analysis was performed with software RevMan 5.0. Results： We found that compared with THA, HA needed shorter average time and lost less blood. While over the long-term follow-up, THA patients exhibited significantly less pain and better function and were less likely to require a revision hip surgery. Postoperative infection was equally common among HA and THA patients. Conclusions： The significant differences in outcomes suggest that THA is a valuable treatment option for active elderly hip fracture individuals. However, patients who are older, impaired or institutionalized benefit from HA.
