Langlois J et al (2015) Direct anterior Hueter approach is a safe and effective approach to perform a bipolar hemiarthroplasty for femoral neck fracture: outcome in 82 patients. Eur J Orthop Surg Traumatol 28(2):217–232įullam J et al (2019) A scoping review comparing two common surgical approaches to the hip for hemiarthroplasty. Kunkel ST et al (2018) A systematic review and meta-analysis of the direct anterior approach for hemiarthroplasty for femoral neck fracture. Eur J Orthop Surg Traumatol 26(4):423–427 Pala E et al (2016) Hip hemiarthroplasty for femur neck fractures: minimally invasive direct anterior approach versus postero-lateral approach. Neyisci C et al (2020) Direct anterior approach versus posterolateral approach for hemiarthroplasty in the treatment of displaced femoral neck fractures in geriatric patients. Verzellotti S et al (2020) Direct anterior versus posterolateral approach for bipolar hip hemiarthroplasty in femoral neck fractures: a prospective randomised study. Van der Sijp MPL et al (2018) Surgical approaches and hemiarthroplasty outcomes for femoral neck fractures: a meta-analysis. Ju DG et al (2017) Nationwide Analysis of Femoral Neck Fractures in Elderly Patients: A Receding Tide. Thorngren KG et al (2002) Epidemiology of femoral neck fractures. This article supports the DAA HHA as a safe option for the management of displaced intracapsular FNFs.ĭowney C, Kelly M, Quinlan JF (2019) Changing trends in the mortality rate at 1-year post hip fracture - a systematic review. The DAA HHA appears to be safer, reduces hospital stay, and may improve early functional recovery. Significant differences were not detected in any of the remaining outcomes. Findings from studies that were not appropriate for meta-analysis were qualitatively summarized and suggested improved mobility and reduced postoperative pain with the DAA. Nineteen studies met the inclusion criteria, totaling 2,018 HHAs. Outcomes included overall complication rate, mortality rate, dislocation rate, reoperation rate, periprosthetic fracture rate, infection rate, length of stay (LOS), mobility, perioperative blood loss, operative time, and postoperative pain. Studies evaluating HHA-treated FNFs using the DAA were compared through meta-analysis to all other surgical approaches combined and as distinct subgroups. This systematic review and meta-analysis aimed to compare the clinical and functional outcomes associated with the direct anterior approach (DAA) compared to other surgical approaches used for HHA. Minimizing complications is an important focus in hip hemiarthroplasty (HHA) for femoral neck fracture (FNF) patients given the associated high morbidity and mortality rates.
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