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Faisal Aldaheri

King Saud bin Abdulaziz University for Health Sciences, KSA

Presentation 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.

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.