Key result
Hemiarthroplasty via a posterior approach (n=1,990) resulted in significantly less pain, better satisfaction, and better quality of life compared to a direct lateral approach (n=18,918).
Why the study?
Does the posterior approach improve patient-reported outcomes and reoperation rates compared to the direct lateral approach in patients aged 60 and older undergoing hemiarthroplasty for femoral neck fracture?
Population
20,908 patients aged 60 years and older undergoing hemiarthroplasty for femoral neck fracture from the…
Comparison
Posterior surgical approach for hemiarthroplasty vs Direct lateral surgical approach for…
Design
Cohort
Follow-up
4, 12, and 36 months
Authors
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May support posterior approach for better patient-reported outcomes in hemiarthroplasty; leaves open confirmation by randomized trials.
Cohort (n=20,908)
Yes
Does the posterior approach improve patient-reported outcomes and reoperation rates compared to the direct lateral approach in patients aged 60 and older undergoing hemiarthroplasty for femoral neck fracture?
In older patients undergoing hemiarthroplasty for femoral neck fracture, the posterior approach yields better patient-reported outcomes (less pain, better satisfaction and quality of life) than the direct lateral approach, without increasing the risk of reoperation.
Kristensen et al. (2016) conducted a cohort in Femoral neck fracture (n=20,908). Posterior surgical approach vs. Direct lateral surgical approach was evaluated on Patient-reported outcome measures (satisfaction, pain, quality of life, walking ability) and reoperation rate. Hemiarthroplasty via a posterior approach (n=1,990) resulted in significantly less pain, better satisfaction, and better quality of life compared to a direct lateral approach (n=18,918).
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