Posterolateral and direct lateral approach for cemented hemiarthroplasty equally successful in acute femoral neck fracture
A recent study published in the Journal of American Medical Association suggests that posterolateral approach (PLA) for cemented hemiarthroplasty in older adults with acute femoral neck fractures was closely associated with significantly more dislocations and reoperations than direct lateral approach (DLA).
This multicenter trial conducted across 14 medical facilities in the Netherlands encompassed both randomized clinical trial (RCT) and natural experiment (NE) and focused on the PLA and DLA to uncover insights crucial for improving hip fracture care.
The study spanned from February 2018 to January 2022 and included 843 patients aged 18 or older, with acute femoral neck fractures. The patients with secondary hip surgeries, pathological fractures, or multitrauma were excluded. The primary focus was on health-related quality of life six months after surgery. The secondary outcomes included dislocations, fear of falling, activities of daily living, pain, and reoperations.
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