关键词: Arthroplasty Direct anterior approach Dislocation Femoral neck fractures Hemiarthroplasty Posterior approach Surgical technique

来  源:   DOI:10.5312/wjo.v15.i6.605   PDF(Pubmed)

Abstract:
The differences in complication rates between the direct anterior and posterior approaches for hemiarthroplasty in elderly patients with femoral neck fractures are not yet fully understood. Dislocation, a severe complication associated with increased mortality and often requiring additional surgery, may occur less frequently with the direct anterior approach compared to the posterior approach. Careful consideration of patient demographics is essential when planning the surgical approach. Future research in this area should focus on robust randomized controlled trials involving elderly patients recovering from femoral neck fractures.
摘要:
老年股骨颈骨折患者直接前后入路人工股骨头置换术的并发症发生率差异尚不完全清楚。位错,与死亡率增加相关的严重并发症,通常需要额外的手术,与直接前入路相比,直接前入路的发生频率可能较低。在计划手术方法时,仔细考虑患者的人口统计学至关重要。该领域的未来研究应集中在涉及股骨颈骨折恢复的老年患者的可靠随机对照试验上。
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