Direct anterior compared to posterior approach for hip hemiarthroplasty following femoral neck fractures

Kevin A. Wu, Alexandra N. Krez, A. Anastasio
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Abstract

The differences in complication rates between the direct anterior and posterior approaches for hemiarthroplasty in elderly patients with femoral neck fractures are not yet fully understood. Dislocation, a severe complication associated with increased mortality and often requiring additional surgery, may occur less frequently with the direct anterior approach compared to the posterior approach. Careful consideration of patient demographics is essential when planning the surgical approach. Future research in this area should focus on robust randomized controlled trials involving elderly patients recovering from femoral neck fractures.
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股骨颈骨折后直接前路与后路髋关节半关节成形术的比较
对于股骨颈骨折的老年患者,直接前路和后路半关节成形术在并发症发生率上的差异尚未完全明了。脱位是一种严重的并发症,与死亡率增加有关,通常需要进行额外手术,但直接前路与后路相比,脱位的发生率可能较低。在规划手术方法时,仔细考虑患者的人口统计学特征至关重要。未来在这一领域的研究应重点关注涉及老年股骨颈骨折恢复期患者的可靠随机对照试验。
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