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Perioperative outcomes of hemiarthroplasty vs total hip arthroplasty for geriatric hip fracture: The importance of studying matched populations

Journal of Arthroplasty Jul 14, 2020

Haynes MS, Ondeck NT, Ottesen TD, et al. - This study was intended to compare perioperative outcomes of hemiarthroplasty with total hip arthroplasty for geriatric hip fracture. Researchers distinguished individuals aged ≥ 70 years who had undergone hemiarthroplasty (HA) or total hip arthroplasty (THA) for hip fractures from the 2012-2015 National Surgical Quality Improvement database. They conducted propensity score 1:1 matching. The multivariate logistic regression was applied to compare differences in rates of 30-day postoperative adverse outcomes for unmatched and matched cohorts. The study population consisted of 15,558 patients (14,403 HA and 1155 THA). For hip fracture, geriatric patients undergoing HA and THA were compared with and without propensity matching. This study's findings demonstrate that once matching was conducted, the only differences in results between the two groups were a lower transfusion rate among the HA group and a greater readmission rate due to dislocation among the THA group. This implies that either method can be safely considered whether found to be advantageous from a longer-term outcome perspective.

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