Direct anterior versus antero-lateral approach in hip joint hemiarthroplasty

Background Femoral neck fractures are common injuries in the elderly and represent a major source of morbidity and mortality. Due to the benefits, bipolar hip hemiarthroplasty (BHH) is a popular method to treat. The purpose of this study is to evaluate the functional and radiographic outcomes for BH...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2023-07, Vol.143 (7), p.4141-4148
Main Authors: Krassnig, Renate, Prager, Walter, Wildburger, Renate, Hohenberger, Gloria M
Format: Article
Language:English
Subjects:
Aged
Antiviral Agents
Arthroplasty, Replacement, Hip - methods
Femoral Neck Fractures - surgery
Hemiarthroplasty - methods
Hip joint
Hip Joint - diagnostic imaging
Hip Joint - surgery
Humans
Medicine
Medicine & Public Health
Orthopedics
Pain
Prospective Studies
Trauma Surgery
Treatment Outcome
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Summary:Background Femoral neck fractures are common injuries in the elderly and represent a major source of morbidity and mortality. Due to the benefits, bipolar hip hemiarthroplasty (BHH) is a popular method to treat. The purpose of this study is to evaluate the functional and radiographic outcomes for BHH comparing the direct anterior approach (DAA) to the anterolateral approach (ALA) to the hip joint. Methods We used a prospective, randomized observational study design, where we enrolled 83 patients at a level-I-trauma center presenting with indication for BHH. We followed up the participants at defined intervals over a period of 1 year. The follow-up examinations were carried out at defined time intervals for a period of 1 year. Calculations were performed with Statistical Package for Social Sciences (SPSS) 21.0. Results Concerning postoperative pain sensation, the anterior group had statistically significantly decreased pain levels at one ( p  = 0.02), seven ( p  = 0.04) and 14 days ( p  = 0.02) following the intervention when compared to the ALA sample. The postoperative modified Barthel-Index showed a statistically significant difference on the first postoperative day at the anterior group. Conclusion Although we compared two minimally invasive approaches, our results shows a statistically significant difference in pain intensity and mobility for the early postoperative period using the direct anterior approach.
ISSN:1434-3916
0936-8051
1434-3916
DOI:10.1007/s00402-022-04685-x