Orthopedic Trauma Directions 2011; 9(2): 1-11
DOI: 10.1055/s-0030-1267074
Clinical topic
© Georg Thieme Verlag KG Stuttgart · New York

Acute intracapsular fractures treated with arthroplasty

Hemiarthroplasty versus total hip arthroplasty for proximal femoral fractures (update to April 2007 report)
Further Information

Publication History

Publication Date:
13 April 2011 (online)


Evidence from five randomized or quasi-randomized controlled trials (RCTs) suggests that for patients presenting with proximal femur fractures, relative to total hip arthroplasty (THA), patients with hemiarthroplasty (HA) may be at lower risk for dislocation, although at higher risk for revision. Patients with HA may have less mobility, but statistical significance was not consistent across studies. No significant differences in mortality based on prosthesis type were reported. Results should be interpreted cautiously given lack of homogeneity with respect to methods and prostheses used.