Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2024; 15(1): 22-29
Published online Jan 18, 2024. doi: 10.5312/wjo.v15.i1.22
Complication rates after direct anterior vs posterior approach for hip hemiarthroplasty in elderly individuals with femoral neck fractures
Tatiana Charles, Nicolas Bloemers, Bilal Kapanci, Marc Jayankura
Tatiana Charles, Nicolas Bloemers, Bilal Kapanci, Marc Jayankura, Department of Orthopedic Surgery and Traumatology, HUB-Hospital Erasme, Brussels 1070, Belgium
Author contributions: Jayankura M designed research; Jayankura M, Bloemers N, Kapanci B performed research; Jayankura M and Charles T analyzed data; Charles T drafted the manuscript; Charles T, Jayankura M, Kapanci B and Bloemers N proofread the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the HUB-Hospital Erasme.
Informed consent statement: All study participants or their closest family members provided informed written consent allowing the collection of personal and medical data prior to study enrolment. The need for informed consent was waived by the Ethics Committee in case of death of the patient or if a patient presented with cognitive impairment without known relatives.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tatiana Charles, MD, Surgeon, Department of Orthopedic Surgery and Traumatology, HUB-Hospital Erasme, No. 808 Route De Lennik, Brussels 1070, Belgium. tatiana.charles86@gmail.com
Received: August 18, 2023
Peer-review started: August 18, 2023
First decision: November 1, 2023
Revised: November 15, 2023
Accepted: December 26, 2023
Article in press: December 26, 2023
Published online: January 18, 2024
Processing time: 150 Days and 20.6 Hours
Core Tip

Core Tip: In this study, the posterior approach (PL) to bipolar hemiarthroplasty for femoral neck fractures was associated with a significantly higher complication rate (22.7%) than the direct anterior approach (DAA); 7.6% (P = 0.0013). This difference in complication rates probably reflects the significant difference in postoperative dislocation rates, as no dislocations were encountered in the DAA group compared to a dislocation rate of 9.1% in the PL group (P value = 0.0015).