Posterior VS Direct Lateral Surgical Approach in Elderly Hip Fractures

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This dataset shows moderate evidence that supports higher dislocation rates with a posterior approach in the treatment of displaced femoral neck fractures with hip arthroplasty.

Complexity

Alternative nomenclature for the posterior approach to the hip identified in the literature includes the Southern, the posterior, the Moore or the dorsal approach. Similarly, the direct lateral approach can also be called the anterolateral, the transgluteal or more commonly the Modified Hardinge approach. While neither of the included studies specifically addressed any functional outcomes, they both demonstrated statistically significant differences in dislocation rates, favoring the Modified Hardinge approach.
There is no inherent harm in either approach or any associated complications other than the primary outcome of dislocation of the prosthesis postoperatively. This information should be considered in the context of both patient and surgeon specific factors when deciding on a surgical approach.

Date Created

2014-09-05

Last Modified

2014-09-05

Version

2014-09-05

Update Frequency

Annual

Temporal Coverage

2010-2012

Spatial Coverage

United States

Source

John Snow Labs => American Academy of Orthopaedic Surgeons (AAOS)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hip Fractures, Posterior Versus Direct Lateral Surgical Approach, Posterior Hip Surgical Approach, Direct Lateral Hip Surgical Approach, Hip Fractures in the Elderly, Hemiarthroplasty Hip, Recovery From Hip, Posterior Hip, Hip Resurfacing

Other Titles

Posterior Versus Direct Lateral Approach in the Management of Hip Fractures, AAOS Guidelines on Hip Fracture Management, Better Approach in the Management of Hip Fractures, Posterior Versus Direct Lateral Surgical Approach in Elderly Hemiarthroplasty Hip Fractures, Posterior Versus Direct Lateral Surgical Approach in Elderly Recovery From Hip Fractures, Posterior Versus Direct Lateral Surgical Approach in Elderly Posterior Hip Fractures, Posterior Versus Direct Lateral Surgical Approach in Elderly Hip Resurfacing Fractures

Name Description Type Constraints
StudyDescription of the previous studies used in this research.stringrequired : 1
Outcome_FunctionDescription of the reported outcomes from the participants who underwent Posterior or Direct Lateral Surgical Approach.stringrequired : 1
DurationDescription of the duration of the outcome from a Posterior or Direct Lateral Surgical Approach in the management of Hip Fractures.stringrequired : 1
Group_1Description of the type of Posterior or Direct Lateral Surgical Approach used in the first group.stringrequired : 1
Group_2Description of the type of Posterior or Direct Lateral Surgical Approach used in the second group.stringrequired : 1
Population_SizeShows the number of participants or population size in a certain group that received either a Posterior or Direct Lateral Surgical Approach in the management of Hip Fracture.integerrequired : 1 level : Ratio
StatisticDescription of the measurable characteristic of a sample population.stringrequired : 1
ResultResults of the study.numberlevel : Ratio
ProbabilityEffectiveness of the result based on the hypothesis of the study.numberlevel : Ratio
Study_P_ValueStatistical significance of the results of the study.string-
FavorsDescription of which method is more effective.stringrequired : 1
StudyOutcome_FunctionDurationGroup_1Group_2Population_SizeStatisticResultProbabilityStudy_P_ValueFavors
Bieber et al 2012SeromaUnclearDorsal approachTransgluteal approach704Risk ratio2.010.37NoNS
Bieber et al 2012InfectionUnclearDorsal approachTransgluteal approach704Risk ratio0.760.57NoNS
Skoldenberg et al 2010DislocationVariedPosterolateralAnterolateral372Risk ratio7.970.01NoFavors anterolateral
Bieber et al 2012HematomaUnclearDorsal approachTransgluteal approach704Risk ratio0.220NoFavors transgluteal approach
Skoldenberg et al 2010Deep infection leading to reoperationVariedPosterolateralAnterolateral372Risk ratio2.340.3NoNS
Skoldenberg et al 2010Periprosthetic fracture leading to reoperationVariedPosterolateralAnterolateral372Risk ratio0.70.64NoNS
Skoldenberg et al 2010Early aeseptic loosening leading to reoperationVariedPosterolateralAnterolateral372% risk difference0.520.28NoNS
Bieber et al 2012Perioperative fractureIntraoperatively or early postoperativelyDorsal approachTransgluteal approach704Risk ratio1.340.8NoNS
Bieber et al 2012DislocationEither inpatient or causing re-admissionDorsal approachTransgluteal approach704Risk ratio8.470.04NoFavors transgluteal approach
Bieber et al 2012HematomaUnclearDorsal approachTransgluteal approach704Risk ratio0.220NoFavors transgluteal approach