From: A scoping review comparing two common surgical approaches to the hip for hemiarthroplasty
Author Year | Study Type | Follow-Up | Outcomes (not inc dislocation) | Dislocation | Recommendation |
---|---|---|---|---|---|
Paton and Hirst 1989 [27] UK | Observational | Min 6 months Max 4 years | – | PA: 8/93 (8.6%) DLA: 2/78 (2.6%) (p < 0.08) | DLA |
Keene and Parker 1993 [28] UK | Observational | Up to 1 year | Operation duration Operative blood loss Perioperative fracture Subsequent fracture Superficial infection Deep infection Deep vein thrombosis Pulmonary embolism Sciatic nerve palsy Mortality Length of stay | PA: 10/229 (4.3%) DLA: 5/302 (1.7%) (P = 0.04) | Surgeon choice |
Unwin and Thomas 1994 [16] UK | Observational | 3 months | – | PA: 149/1656 (9.0%) DLA: 41/1250 (3.3%) (p > 0.001) | DLA |
Pajarinen et al. 2003 [29] Finland | Observational | 6 months | – | PA: 14/86 (16.3%) DLA: 8/252 (3.2%) OR 5.9 CI:2.4–15 | DLA |
Enocson et al. 2008 [8] Sweden | Observational | 0–10 years Median = 2.3 years | – | PA: 17/129 (13%) PAa: 15/176 (8.5%) LA: 13/431 (3%) p < 0.001 | DLA |
Ninh et al. 2009 [33] US | Observational | F-up 1: 6 weeks F-up 2: 1 year | – | PA: 9/139 (6.5%) DLA: 2/35 (5.7%) F-up 1: p = 0.069 F-up 2: p = 0.82 | No recommendation |
Biber et al. 2012 [32] Germany | Observational | Unclear | Early infection Early haematoma Early seroma Perioperative fracture | PAa: 3.9% DLA: 0.5% p = 0.01 | No recommendation |
Rogmark et al. 2014 [4] Sweden & Norway | Observational | Mean 2.7 years (SD(1.7)) | Reoperation due to: Dislocation Infection Fracture Erosion and other | Total sample: b443/33205 PA Hazard Ratio 2.2 (1.8–2.6) | DLA |
Abram and Murray 2015 [10] UK | Observational | Up to 5 years 10 months | Infection Return home on discharge Mortality 30 day and 1 Year | PAa: 7/54 (13.0%) DLA: 16/753 (2.15) p < 0.001 | DLA |
Parker 2015 [34] UK | Randomised Controlled Trial | 8 weeks 3 Months 6 Months 9 Months 12 Months | Pain Mobility Mortality Surgery length Patients transfused Units blood transfused Difficulty level Small/Large operative fracture Wound haematoma Wound infection (superficial and deep) Sciatic nerve palsy Later fracture around implant Re-operation General complications | PAa: 1/108 (0.9%) DLA: 2/108 (1.9%) p = 1.00 | No recommendation |
Leonardsson et al. 2016 [30] Sweden | Observational | 1 year | Reoperation due to: -Infection -Fracture -Acetabular erosion Other Health related quality of life (patient reported) Pain (patient reported) Satisfaction (patient reported) | bPA: 20/978 (2%) bDLA: 10/1140 (0.9%) p = 0.02 | DLA |
Kristensen et al. 2017 [18] Norway | Observational | 4 months 12 months 36 months | Pain (patient reported) Satisfaction (patient reported) Quality of life (patient reported) Prosthesis survival | – | No recommendation |
Svenøy et al. 2017 [31] Norway | Observational | 1 year | Recurrent dislocation Infection (surgical site) Perioperative fracture Mortality (30 day and 1 year) | PAa: 15/186 (8%) DLA: 4/397 (1%) | DLA |