Direct anterior approach provides better functional outcomes when compared to direct lateral approach in hip hemiarthroplasty following femoral neck fracture

• Published in: European journal of orthopaedic surgery & traumatology 2022, Vol.32 (1), p.137-143
• Main Authors: Lakhani, Kushal, Mimendia, Iñaki, Porcel, Juan Antonio, Martín-Domínguez, Lidia A., Guerra-Farfán, Ernesto, Barro, Víctor
• Format: Article
• Language: English
• Subjects: Anesthesia; Antiviral Agents; Arthroplasty, Replacement, Hip - adverse effects; Bone surgery; Femoral Neck Fractures - surgery; Fractures; Hemiarthroplasty - adverse effects; Hospitals; Humans; Length of stay; Medicine; Medicine & Public Health; Mortality; Original Article; Orthopedics; Patients; Retrospective Studies; Statistical analysis; Surgical Orthopedics; Trauma; Traumatic Surgery; Treatment Outcome
• ISSN: 1633-8065; 1432-1068
• DOI: 10.1007/s00590-021-02941-1

Purpose This study aims to compare the differences between direct anterior approach (DAA) and direct lateral approach (DLA) in hip hemiarthroplasty (HHA) after displaced femoral neck fracture (FNF) in early functional outcome, hospital length of stay, morbidity and mortality rates. Methods This non-interventional retrospective study, carried out at a tertiary trauma centre within the Spanish National Health System, included all patients who underwent a bipolar HHA between 1st January 2018 and 31st December 2019 performed by 2 of our hip unit surgeons. Results A total of 94 patients were included (40 in DAA group and 54 in DLA group). Median follow-up was 19.2 months (range 8–30.8 months). Postoperative degree of mobilisation showed statistically significant differences in favour of DAA group, where 35% of patients were able to walk with no assistance after surgery. DAA group had 1 day less of hospitalisation in contrast with DLA group overall (8 days vs 9 days, respectively, p