الفهرس | Only 14 pages are availabe for public view |
Abstract • Implications for practice FHR procedure increases operative time and intra-operative blood loss when compared with CMN procedure. HA procedure increases wound complications when compared with CMN procedure. HA procedure likely increases 1-year mortality rate when compared with CMN procedure. FHR procedure likely reduces reoperation/revision rate when compared with CMN procedure. HA procedure probably improves patient recovery when compared with CMN procedure. This is represented by 2 outcomes. 1st, HA procedure probably reduces the time to partial and full weight bearing when compared with CMN procedure. 2nd, HA procedure probably improves hip function at short term (1.5 and 3 months) when compared with CMN procedure. However, the situation is different at long term. At 6 months, while HA probably has higher HHS than CMN procedure, this difference is clinically insignificant. There is no evidence of difference in hip function between both procedures at mid-term follow up. At long term follow up, while HA probably has lower HHS than CMN procedure, this difference is clinically insignificant. While HA procedure probably reduces the incidence of major orthopedic complication events when compared to CMN procedure, the evidence suggests that THR procedure increase their incidence compared to CMN procedure. Also, the evidence is very uncertain about the effect of FHR procedure on number of patients affected by major orthopedic complications. While HA procedure may increase the incidence of LLD when compared to CMN procedure. The evidence suggests that this discrepancy is of subclinical importance. These is no evidence of difference in hospital stay, general complications, or minor orthopedic complications between both procedures. • Implications for research We advise conducting comparative studies focusing on unstable ITF using accurate and updated classifications applied on CT scan to ascertain fracture instability. Also, we advise methodologically well-designed RCTs with blinding of outcome assessors using purely patient-based reported outcomes to assess hip function. |