{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:45Z","timestamp":1787027325676,"version":"build-2736575974"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002947","name":"Basic and Clinical Cooperative Research Promotion Plan of Anhui Medical University","doi-asserted-by":"publisher","award":["2020xkjT040"],"award-info":[{"award-number":["2020xkjT040"]}],"id":[{"id":"10.13039\/501100002947","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002947","name":"Clinical Research cultivation Program of the Second Affiliated Hospital of Anhui Medical University","doi-asserted-by":"publisher","award":["2020LCZD20"],"award-info":[{"award-number":["2020LCZD20"]}],"id":[{"id":"10.13039\/501100002947","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>\n                    There are three traditional surgical approaches to hemiarthroplasty (HA) for femoral neck fractures, respectively, the anterior approach (AA), the lateral approach (LA) and the posterior approach (PA). However, the optimum approach is still controversial, the purpose of this meta-analysis is to identify the merits and demerits of all three approaches. All clinical published studies in PubMed, Web of Science, Embase, and the Cochrane Library from January 2000 to April 2022 were searched which compared different surgical approaches and covered surgery-related outcomes and frequent complications. Five randomized controlled trials and 26 cohort studies for a total of 31 clinical trials were included in the meta-analysis. The dislocation of PA was significantly higher than LA (OR: 3.00 95% CI: 2.25\u20134.01\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200927%\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&amp;lt;\u20090.00001) and AA (OR: 6.61 95% CI: 2.28\u201319.13\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090%\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.0005); PA was substantially more than LA in terms of risk of postoperative reoperation (\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&amp;lt;\u20090.05); meanwhile, AA has markedly shorter hospital length of stays than LA. The remaining items showed no significant differences in the results.The results of this meta-analysis demonstrated that the risk of PA dislocation and reoperation is higher with hemiarthroplasty, and AA has markedly shorter hospital length of stays than LA.\n                  <\/jats:p>","DOI":"10.3389\/fsurg.2022.1049534","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T02:40:31Z","timestamp":1672972831000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis"],"prefix":"10.3389","volume":"9","author":[{"given":"Liang","family":"Shuai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wu","family":"Huiwen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deng","family":"Shihao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Fangyuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Juehua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Jun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.injury.2018.04.015","article-title":"Epidemiology and social costs of hip fracture","volume":"49","author":"Veronese","year":"2018","journal-title":"Injury"},{"key":"B2","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/bf01623184","article-title":"Hip fractures in the elderly: a world-wide projection","volume":"2","author":"Cooper","year":"1992","journal-title":"Osteoporos Int"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.1302\/0301-620x.102b11.Bjj-2020-0610.R2","article-title":"Dual mobility total hip arthroplasty in the treatment of femoral neck fractures","volume":"102","author":"Cha","year":"2020","journal-title":"Bone Joint J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s13018-020-02186-4","article-title":"Hemiarthroplasty compared to total hip arthroplasty for the treatment of femoral neck fractures: a systematic review and meta-analysis","volume":"16","author":"Li","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1186\/s12877-018-0898-9","article-title":"Minimally invasive anterior muscle-sparing versus a transgluteal approach for hemiarthroplasty in femoral neck fractures-a prospective randomised controlled trial including 190 elderly patients","volume":"18","author":"Saxer","year":"2018","journal-title":"BMC Geriatr"},{"key":"B6","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1016\/j.otsr.2016.04.007","article-title":"Unstable intertrochanteric versus displaced femoral neck fractures treated with cementless bipolar hemiarthroplasty in elderly patients; 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