THA approaches had similar revision rates for femoral neck fracture
Click Here to Manage Email Alerts
Key takeaways:
- Patients with femoral fractures who underwent total hip arthroplasty with lateral, posterior or anterior approaches had similar outcomes.
- Researchers found similar rates of all-cause revision.
Published results showed no significant differences in overall rates of revision or Oxford hip scores between patients who underwent total hip arthroplasty with lateral, posterior or anterior approaches.
Researchers used the New Zealand Joint Registry to analyze data from patients with femoral neck fractures who underwent 5,025 THA procedures from January 2000 to December 2021. According to the study, the lateral approach was used in 2,499 (49.7%) procedures; the posterior approach was used in 2,255 (44.9%) procedures; and the anterior approach was used in 271 (4.3%) procedures.
Outcome measures included revision for all causes, dislocation, aseptic femoral component loosening, periprosthetic fracture and infection, as well as Oxford Hip scores.
Overall, researchers found no significant differences in all-cause revision rates between the lateral vs. posterior approaches, the lateral vs. anterior approaches or the posterior vs. anterior approaches. Researchers also found no differences in reasons for revision or Oxford Hip scores between the lateral vs. posterior approaches at 6-month follow-up. They noted there were insufficient data to compare with the anterior approach.
Researchers noted the similar rates of revision for dislocation among patients who underwent the lateral vs. posterior approaches may be due to increased use of large femoral heads and dual-mobility articulations with the posterior approach.
“Surgeons should choose a surgical approach they are familiar with when managing patients who had primary THA for femoral neck fractures,” the researchers wrote in the study.
Collapse
Read more about
Click Here to Manage Email Alerts