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tay of the arthroplasty group was shorter [MD 0.97, 95% CI 1.29 to 0.66), 0.00001]. There was no difference between the two groups in the type of anesthesia (RR 0.99). There were only two studies recording the weight-bearing time, and the time of full weight bearing in the arthroplasty group was significantly earlier. Compared with PFN, arthroplasty can achieve weight bearing earlier and shorten hospital stay, but it cannot achieve a better clinical outcome. Arthroplasty cannot replace PFNs in the treatment of unstable IFFs in elde