International Journal of Health Sciences and Research Vol.12; Issue: 8; August 2022 Website: www.ijhsr.org Review Article ISSN: 2249-9571 International Journal of Health Sciences and Research (www.ijhsr.org) 71 Vol.12; Issue: 8; August 2022 Comparative Treatment of Hemiarthroplasty Between Total Hip Arthroplasty Versus Hemiarthroplasty for Femoral Neck Fracture in Elderly: A Systematic Review and Meta-analysis I Nyoman Yuda Raditya 1 , Cokorda Gde Oka Dharmayuda 2 1 Resident, Department of Orthopaedic and Traumatology Sanglah Genera Hospital / Faculty of Medicine, Udayana University, Denpasar 2 Consultant, Department of Orthopaedic and Traumatology Sanglah Genera Hospital / Faculty of Medicine, Udayana University, Denpasar Corresponding Author: I Nyoman Yuda Raditya DOI: https://doi.org/10.52403/ijhsr.20220810 ABSTRACT Introduction: Hip fractures are leading cause of disability worldwide, with displaced femoral neck fractures being of particular concern. There’s different opinion about advantages of performing total hip arthroplasty or hemiarthroplasty, recent meta-analysis reported that total hip arthroplasty (THA) was superior to hemiarthroplasty (HA) in terms of reoperations, but inferior in terms of dislocations. Methods: We conducted a literature search of 4 databases to identify randomized controlled trials comparing THA and HA in patients. Focus in this systematic review and meta-analysis is to compare clinical outcome between Hemiarthroplasty versus Total Hip Arthroplasty for Femoral Neck Fracture Results: We found that there is no statistically significant difference between these two groups in Functional Outcome (Harris Hip Score) between Total Hip Arthroplasty versus Hemiarthroplasty for Femoral Neck Fracture in elderly. From three studies added in this subgroup analysis, we found no statistically difference in between those two groups for the EQ-5D outcome between Total Hip Arthroplasty versus Hemiarthroplasty for Femoral Neck Fracture in elderly. Discussion: The choice of THA or HA in FNF in the active elderly remains uncertain, although different opinion has been reported, in our systematic review, no significant difference was found in the functional outcome between two groups measured with Conclusion: There was no differences on functional outcome and EQ-5D between Total Hip Arthroplasty and Hemiarthroplasty on Femoral Neck Fracture in elderly Keywords: Total Hip Arthroplasty, Hemiarthroplasty, INTRODUCTION Hip fractures are a global health problem, the incidence of which is increasing over time. The incidence of hip fractures in Asian countries will increase from more than 1 million people per year in 1990 to more than 6 million by 2050. Femoral neck fractures (FNFs) are a major type of hip fracture, treated with internal fixation, Hemiarthroplasty (HA) or Total Hip Arthroplasty (THA). Internal fixation is a preferred management option for the young or elderly who are intolerant to prosthetic surgery, THA are widely used in elderly FNF. In general, HA has the advantages of shorter operative time, less blood loss, less technical requirements, less economic burden and lower dislocation rate. 1 With increasing life expectancy and activity levels, today's older adults have a higher