Partial Endoprosthesis Application with Posterior Mini-Incision in Geriatric Hip Fractures: A Retrospective Study

Abstract

Background: Recent technological advancements and accumulating surgical experience have led to a higher interest in orthopedic minimally invasive surgery. This study aims to present the feasibility of posterior mini-incision for partial hip prosthesis compared with total hip prosthesis. Materials and methods: We enrolled 15 patients (nine females, six males) who presented with a geriatric hip fracture between 2013 and 2014. While 11 of the fractures were in the collum femoris, 4 were intertrochanteric fractures. Hemiarthroplasty with a mini-incision was applied to all patients. Results: In all patients, a mini-incision of 8.5-cm mean length was used. The mean surgical duration was 67.4 min, and the mean blood loss was 526 mL. We observed no neurovascular damage in any patient resulting from the limited exposure. Moreover, no postoperative complication was reported, and there was no mortality during the follow-up. Conclusion: This study suggests that the advantages and disadvantages of classic and mini-incision methods should be comprehensively assessed, and the most appropriate method should be selected for each patient.