The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis
Abstract
Background: Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) is widely used for the treatment of femoral neck fractures.
Aim: This study conducted a comparative and meta-analysis of the therapeutic effects of different screw fixation methods in femoral neck fractures, with the aim of finding a better treatment.
Methods: Pubmed, Embase, Cochrane Library and Web of science databases were searched using MeSH Terms combined with free words without time or language constraints. MeSH Terms were "femoral neck fractures", "Sliding Hip Screw", "Cancellous Screws", "Fixation using Alternative Implants for the Treatment of Hip fractures", "over 50 years old". The search deadline is August 15, 2024. Two researchers sifted through the retrieved literature to come up with the included literature. After a close reading of the literature, Review Manager 5.4 was used to analyze the risk of bias in the included literature, compare various indicators of different screw fixation, and make forest and funnel maps.
Results: 214 literatures were retrieved from 4 databases were included in the study after screening. The bias of the included literature is good, and the randomness and blindness are clearly indicated in this paper. Pauwels Type III (Chi2 = 0.00, df = 3, I2 = 0%, z = 0.80, p = 0.43), fall (Chi2 = 2.23, df = 2, I2 = 10%, z = 1.88, p = 0.06) and Mortality (Chi2 = 4.80, df = 2, I2 = 58%, z = 3.53, p = 0.0004) were lower in sliding hip screws than in cancellous…
How strong is the evidence?
Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
Read the paper
Related studies
- Effectiveness of Bisphosphonates and Denosumab on Risk of Vertebral Fractures in Prostate Cancer Patients Under Androgen Deprivation Therapies: A Real-World Prospective Study
- Osteoporosis-related fractures after spinal cord injury: a retrospective study from Brazil
- Serum 25-hydroxyvitamin D, parathyroid hormone, and mortality in older men
- Lack of Association between Vitamin D Insufficiency and Cardiovascular or Fracture Risk: A UK Biobank Study
- Muscle strength and body composition are clinical indicators of osteoporosis
- Incidence of bone protection and associated fragility injuries in patients with proximal femur fractures
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.