Yan TX, Dong SJ, Ning B, Zhao YC. Bipolar hip arthroplasty using conjoined tendon preserving posterior lateral approach in treatment of displaced femoral neck fractures. World J Clin Cases 2024; 12(6): 1076-1083 [PMID: 38464920 DOI: 10.12998/wjcc.v12.i6.1076]
Corresponding Author of This Article
Yu-Chi Zhao, PhD, Associate Specialist, Doctor, Surgeon, Department of Joint Surgery, Yantaishan Hospital, No. 10087 Science and Technology Avenue, Laishan District, Yantai 264003, Shandong Province, China. zhaoyuchizyc@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 26, 2024; 12(6): 1076-1083 Published online Feb 26, 2024. doi: 10.12998/wjcc.v12.i6.1076
Bipolar hip arthroplasty using conjoined tendon preserving posterior lateral approach in treatment of displaced femoral neck fractures
Ting-Xin Yan, Sheng-Jie Dong, Bo Ning, Yu-Chi Zhao
Ting-Xin Yan, Sheng-Jie Dong, Yu-Chi Zhao, Department of Joint Surgery, Yantaishan Hospital, Yantai 264003, Shandong Province, China
Bo Ning, Department of Joint Surgery, Dongying People's Hospital, Dongying 257091, Shandong Province, China
Author contributions: Zhao YC designed the report; Yan TX collected the patients’ clinical data; Dong SJ analyzed the data, Yan TX and Ning B wrote the paper; All authors read and approved the final manuscript.
Institutional review board statement: The Clinical Trial Ethics Committee of Yantaishan Hospital provided approval for this study (IRB No. LL-2023-161-L).
Informed consent statement: During outpatient follow-up, the patients signed an informed consent form to be included in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data that support the findings of this study are available on request from the corresponding author at zhaoyuchizyc@163.com. The data are not publicly available due to privacy or ethical restrictions.
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: Yu-Chi Zhao, PhD, Associate Specialist, Doctor, Surgeon, Department of Joint Surgery, Yantaishan Hospital, No. 10087 Science and Technology Avenue, Laishan District, Yantai 264003, Shandong Province, China. zhaoyuchizyc@163.com
Received: November 20, 2023 Peer-review started: November 20, 2023 First decision: December 15, 2023 Revised: December 30, 2023 Accepted: January 27, 2024 Article in press: January 27, 2024 Published online: February 26, 2024 Processing time: 91 Days and 19.7 Hours
ARTICLE HIGHLIGHTS
Research background
The traditional posterior lateral approach for hip replacement carries a high risk of hip dislocation. Surgeons have reduced the incidence of dislocation after hip replacement by modifying the surgical approach. Reducing the dislocation rate after bipolar hemiarthroplasty (BHA) surgery will greatly improve patient satisfaction and quality of life.
Research motivation
To improve the stability of the hip joint and reduce the postoperative dislocation rate through modifying the posterior lateral approach by preserving the conjoined tendon, piriformis tendon, and partial posterior joint capsule.
Research objectives
To explore the effectiveness and safety of the conjoined tendon-preserving posterior lateral (CPP) approach for BHA in patients with a fractured femoral neck.
Research methods
This retrospective study included adult inpatients from single hospital who underwent BHA with the CPP approach. Paired t test was used to compare the Health Service System scores before surgery and 1 year after surgery.
Research results
No dislocation was found during the follow-up period. No serious postoperative complications occurred.
Research conclusions
The CPP approach can significantly reduce postoperative dislocation after BHA in femoral neck fracture patients.
Research perspectives
This study provided evidence for how to reduce the dislocation rate after hip replacement surgery and emphasized the importance of the soft tissue integrity around the hip joint.
