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Faisal Aldaheri
King Saud bin Abdulaziz University for Health Sciences, KSAPresentation Title:
Total hip arthroplasty versus hemiarthroplasty for the management of displaced intracapsular fractures: a systematic review and meta-analysis of four decades
Abstract
Background
More than 800,000 intracapsular femoral neck
fractures occur annually, making this type of hip fracture prevalent, as it
also accounts for more than half of all hip fractures. Although nondisplaced
fractures are usually treated using cannulated screw fixation, hip arthroplasty
is employed in displaced fracture treatment to alleviate pain and restore
function and is favored over internal fixation. Comparing
the results of THA to HA in treating displaced intracapsular fractures is the
aim of this systematic review and meta-analysis.
Methods
A comprehensive search of the literature was done using Cochrane, PubMed, Medline, ScienceDirect, and Web of Science databases, covering publications from inception to the 16th of February 2025. Furthermore, the search was expanded through examination of reference lists from pertinent pieces. The primary outcome measures analyzed included the Harrison Hip Score (HHS), pain, blood loss, and the need for reoperation. Analysis was conducted using RevMan 5.4 software.
A comprehensive search of the literature was done using Cochrane, PubMed, Medline, ScienceDirect, and Web of Science databases, covering publications from inception to the 16th of February 2025. Furthermore, the search was expanded through examination of reference lists from pertinent pieces. The primary outcome measures analyzed included the Harrison Hip Score (HHS), pain, blood loss, and the need for reoperation. Analysis was conducted using RevMan 5.4 software.
Results
Our findings support that patients undergoing total hip arthroplasty (THA) had
significantly better functional outcomes measured by the HHS and lesser
revision rates, but patients undergoing hemiarthroplasty (HA) were
statistically significant in having less blood loss.
Conclusion
THA is superior to HA in terms of functional outcomes and reoperation rates.
Standardized evaluation of future trials is necessary to improve the quality of
evidence.
Keywords: total hip arthroplasty, hemiarthroplasty, femoral neck fracture,
intracapsular hip fracture, postoperative complications, pain assessment
Biography
Faisal
Aldaheri is a medical student at King Saud bin Abdulaziz University for Health
Sciences in Jeddah, Saudi Arabia. His academic and research interests center on
orthopedic surgery, musculoskeletal trauma, and surgical innovation. He has
completed clinical electives at King Faisal Specialist Hospital and King
Abdulaziz Medical City (MNGHA), where he gained extensive hands-on experience
in trauma, arthroplasty, and pediatric orthopedics. Faisal has presented
multiple research projects at national and international conferences, earning
several awards for his posters and oral presentations. He has also contributed
to several manuscripts currently under submission to peer-reviewed orthopedic
and surgical journals. Beyond research, he has served as President of the
Orthopedic Student Club and the Research & Innovation Club, leading
numerous educational workshops and awareness initiatives. Faisal is also an
active member of the Global Shapers Community, an initiative of the World
Economic Forum, reflecting his strong commitment to advancing healthcare and
social impact through leadership and innovation.