Replacement arthroplasty versus internal fixation for extracapsular hip fractures in adults

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There is still a lack of evidence on the effectiveness of replacement arthroplasty compared to internal fixation for extracapsular hip fractures in adults.

Internal fixation of extracapsular fractures, using extramedullary or intramedullary devices, has been developed over the last 50 years. Internal fixation may fail, particularly in unstable fractures. This has led some surgeons to try replacing the proximal femur with an arthroplasty in the treatment of an extracapsular femoral fracture. The objective of the review was to compare the relative effects (benefits and harms) of replacement arthroplasty versus internal fixation for the treatment of extracapsular proximal femoral fractures in adults.

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