Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis
Hemiarthroplasty and total hip arthroplasty are routinely performed procedures. A comparison of these procedures in tumor patients can be performed based on complications and functional outcomes. To weigh the advantages and disadvantages of both procedures, a comparative study is indeed required to...
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/1209 |
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| author | Nishant Banskota Xiang Fang Dechao Yuan Senlin Lei Wenli Zhang Hong Duan |
| author_facet | Nishant Banskota Xiang Fang Dechao Yuan Senlin Lei Wenli Zhang Hong Duan |
| author_sort | Nishant Banskota |
| collection | DOAJ |
| description | Hemiarthroplasty and total hip arthroplasty are routinely performed procedures. A comparison of these procedures in tumor patients can be performed based on complications and functional outcomes. To weigh the advantages and disadvantages of both procedures, a comparative study is indeed required to decide which procedure is more beneficial for primary bone tumor patients. The outcomes of proximal femur tumor-resected patients were collected from research reports from PubMed, MEDLINE, EMBASE, Cochrane, and Google Scholar until 30 December 2022. Differences between these two operative procedures in primary bone tumors patients were analyzed based on dislocation, infection, local recurrence, MSTS, and HHS. Six articles were included according to the selection criteria with a total of 360 patients. Our results showed that there was a significant difference in our primary outcome as hemiarthroplasty participants encountered less dislocation than those with total hip arthroplasty. Moreover, the secondary outcomes of our study were similar. Proximal femur bone tumors, when resected, tend to produce more complications and decrease functional ability due to extensive tumor extension and soft tissue involvement. The lower dislocation rate in hemiarthroplasty participants emphasizes the importance of preserving the acetabular head in hemiarthroplasty as a key to preventing dislocation. |
| first_indexed | 2024-03-11T09:38:18Z |
| format | Article |
| id | doaj.art-c3ca36affece479e85e739ea350e7daa |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:38:18Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-c3ca36affece479e85e739ea350e7daa2023-11-16T17:13:19ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01123120910.3390/jcm12031209Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-AnalysisNishant Banskota0Xiang Fang1Dechao Yuan2Senlin Lei3Wenli Zhang4Hong Duan5Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, ChinaHemiarthroplasty and total hip arthroplasty are routinely performed procedures. A comparison of these procedures in tumor patients can be performed based on complications and functional outcomes. To weigh the advantages and disadvantages of both procedures, a comparative study is indeed required to decide which procedure is more beneficial for primary bone tumor patients. The outcomes of proximal femur tumor-resected patients were collected from research reports from PubMed, MEDLINE, EMBASE, Cochrane, and Google Scholar until 30 December 2022. Differences between these two operative procedures in primary bone tumors patients were analyzed based on dislocation, infection, local recurrence, MSTS, and HHS. Six articles were included according to the selection criteria with a total of 360 patients. Our results showed that there was a significant difference in our primary outcome as hemiarthroplasty participants encountered less dislocation than those with total hip arthroplasty. Moreover, the secondary outcomes of our study were similar. Proximal femur bone tumors, when resected, tend to produce more complications and decrease functional ability due to extensive tumor extension and soft tissue involvement. The lower dislocation rate in hemiarthroplasty participants emphasizes the importance of preserving the acetabular head in hemiarthroplasty as a key to preventing dislocation.https://www.mdpi.com/2077-0383/12/3/1209hemiarthroplastytotal hip arthroplastydislocationinfectionlocal recurrenceMSTS |
| spellingShingle | Nishant Banskota Xiang Fang Dechao Yuan Senlin Lei Wenli Zhang Hong Duan Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis Journal of Clinical Medicine hemiarthroplasty total hip arthroplasty dislocation infection local recurrence MSTS |
| title | Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis |
| title_full | Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis |
| title_fullStr | Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis |
| title_full_unstemmed | Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis |
| title_short | Comparative Study of Proximal Femur Bone Tumor Patients Undergoing Hemiarthroplasty versus Total Hip Arthroplasty: A Meta-Analysis |
| title_sort | comparative study of proximal femur bone tumor patients undergoing hemiarthroplasty versus total hip arthroplasty a meta analysis |
| topic | hemiarthroplasty total hip arthroplasty dislocation infection local recurrence MSTS |
| url | https://www.mdpi.com/2077-0383/12/3/1209 |
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