Comment on the article “Proximal femoral nailing is superior to hemiarthroplasty in AO/OTA A2 and A3 intertrochanteric femur fractures in the elderly: a systematic literature review and meta-analysis”

Excerpt

It was with great interest that we read the article entitled “Proximal femoral nailing is superior to hemiarthroplasty in AO/OTA A2 and A3 intertrochanteric femur fractures in the elderly: a systematic literature review and meta-analysis,” published in June 2020 in the International Orthopaedics. The authors performed a meta-analysis to compare the outcomes of proximal femoral nail (PFN) and bipolar hemiarthroplasties (BPH) in treatment of intertrochanteric femur fractures (IFF) in the elderly patients (> 70 years). The authors concluded that PFN were superior to BPH for unstable IFF in the elderly in terms of functional outcomes and overall mortality. We wish to commend the authors for bringing out this novel conclusion [1]. Although we read the article with pleasure, it must be stated that this meta-analysis raises some thought-provoking issues. Therefore, we wish to have the opportunity to comment on this article respectfully. …