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September 21, 2025BMC Musculoskeletal DisordersOpen Access

Effectiveness of open reduction internal fixation versus revision arthroplasty around Vancouver type B2 periprosthetic femoral fractures: a systematic review and meta-analysis

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Authors

FTFei TanYQYongjie QiaoYZYingjia Zhou

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Overview

Systematic review and meta-analysis reveals ORIF shows better outcomes than revision arthroplasty in periprosthetic fractures, suggesting potential preferences for surgical management.

Key Points

  • ORIF shows a significantly shorter injury to surgery time compared to revision arthroplasty, improving overall efficiency in treatment.
  • Infection rates were significantly lower in the ORIF group, indicating a more favorable safety profile for this surgical approach.
  • The study included 34 analyses and over 5000 patients, contributing to a robust evaluation of the comparative effectiveness of both procedures.
  • Despite some advantages, ASA classifications suggest that patients undergoing ORIF may have worse general health than those receiving RA.

Cite This Study

Tan et al. (2025) studied this question.

synapsesocial.com/papers/68d43afa713b0b5dfea7ab3ehttps://doi.org/10.1186/s12891-025-09052-6
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