{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T15:24:23Z","timestamp":1794410663053,"version":"4.9.0"},"reference-count":65,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T00:00:00Z","timestamp":1687996800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: Femoral neck fractures are an epidemiologically significant issue with major effects on patients and health care systems, as they account for a large percentage of bone injuries in the elderly. Hip hemiarthroplasty is a common surgical procedure in the treatment of displaced femoral neck fractures. Several surgical approaches may be used to access the hip joint in case of femoral neck fractures, each with its own benefits and potential drawbacks, but none of them has consistently been found to be superior to the others. This article aims to systematically review and compare the different approaches in terms of the complication rate at the last follow-up. Methods: an in-depth search on PubMed\/Scopus\/Web of Science databases and a cross-referencing search was carried out concerning the articles comparing different approaches in hemiarthroplasty and reporting detailed data. Results: A total of 97,576 hips were included: 1030 treated with a direct anterior approach, 4131 with an anterolateral approach, 59,110 with a direct lateral approach, and 33,007 with a posterolateral approach. Comparing the different approaches, significant differences were found in both the overall complication rate and the rate of revision surgery performed (p &lt; 0.05). In particular, the posterolateral approach showed a significantly higher complication rate than the lateral approach (8.4% vs. 3.2%, p &lt; 0.001). Furthermore, the dislocation rate in the posterolateral group was significantly higher than in the other three groups considered (p &lt; 0.026). However, the posterolateral group showed less blood loss than the anterolateral group (p &lt; 0.001), a lower intraoperative fractures rate than the direct anterior group (p &lt; 0.035), and shorter mean operative time than the direct lateral group (p &lt; 0.018). Conclusions: The posterolateral approach showed a higher complication rate than direct lateral approach and a higher prosthetic dislocation rate than the other three types of surgical approaches. On the other hand, patients treated with posterolateral approach showed better outcomes in other parameters considered, such as mean operative time, mean blood loss and intraoperative fractures rate. The knowledge of the limitations of each approach and the most common associated complications can lead to choosing a surgical technique based on the patient\u2019s individual risk.<\/jats:p>","DOI":"10.3390\/medicina59071220","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:43:30Z","timestamp":1688085810000},"page":"1220","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Does Surgical Approach Influence Complication Rate of Hip Hemiarthroplasty for Femoral Neck Fractures? A Literature Review and Meta-Analysis"],"prefix":"10.3390","volume":"59","author":[{"given":"Matteo","family":"Filippini","sequence":"first","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"},{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Bortoli","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Montanari","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Pace","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Di Prinzio","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Lonardo","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania Claudia","family":"Parisi","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Persiani","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"De Cristofaro","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2099-8547","authenticated-orcid":false,"given":"Andrea","family":"Sambri","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6182-9870","authenticated-orcid":false,"given":"Massimiliano","family":"De Paolis","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0546-670X","authenticated-orcid":false,"given":"Michele","family":"Fiore","sequence":"additional","affiliation":[{"name":"Alma Mater Studiorum, University of Bologna, 40126 Bologna, Italy"},{"name":"Orthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Treatment of Common Hip Fractures","volume":"184","author":"Butler","year":"2009","journal-title":"Evid. Rep. Technol. Assess"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.2106\/JBJS.J.00296","article-title":"Evidence Summary: Systematic Review of Surgical Treatments for Geriatric Hip Fractures","volume":"93","author":"Butler","year":"2011","journal-title":"J. Bone Jt. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1080\/17453670810016597","article-title":"Patient Satisfaction, Pain, and Quality of Life 4 Months after Displaced Femoral Neck Fractures: A Comparison of 663 Fractures Treated with Internal Fixation and 906 with Bipolar Hemiarthroplasty Reported to the Norwegian Hip Fracture Register","volume":"79","author":"Gjertsen","year":"2008","journal-title":"Acta Orthop."},{"key":"ref_4","unstructured":"(2023, April 10). Norwegian National Advisory Unit on Arthroplasty and Hip Fractures. Available online: https:\/\/helse-bergen.no\/nasjonal-kompetansetjeneste-for-leddproteser-og-hoftebrudd\/norwegian-national-advisory-unit-on-arthroplasty-and-hip-fractures."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3109\/17453674.2014.885356","article-title":"Posterior Approach and Uncemented Stems Increases the Risk of Reoperation after Hemiarthroplasties in Elderly Hip Fracture Patients: An Analysis of 33,205 Procedures in the Norwegian and Swedish National Registries","volume":"85","author":"Rogmark","year":"2014","journal-title":"Acta Orthop."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/BF00379169","article-title":"The Transgluteal Approach to the Hip Joint","volume":"95","author":"Bauer","year":"1979","journal-title":"Arch. Orthop. Traumat. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1302\/0301-620X.32B2.183","article-title":"Posterior Exposure of the Hip Joint","volume":"32","author":"Gibson","year":"1950","journal-title":"J. Bone Jt. Surg. Br. Vol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s00065-002-1053-9","article-title":"The Anterior Approach to Hip and Pelvis","volume":"10","author":"Weber","year":"2002","journal-title":"Orthop. Traumatol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/00003086-198010000-00029","article-title":"Anterior Approach to Hip Arthroplasty","volume":"152","author":"Light","year":"1980","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_10","first-page":"1257","article-title":"Does the Choice of Approach for Hip Hemiarthroplasty in Geriatric Patients Significantly Influence Early Postoperative Outcomes? A Randomized-Controlled Trial Comparing the Modified Smith-Petersen and Hardinge Approaches","volume":"70","author":"Auffarth","year":"2011","journal-title":"J. Trauma Inj. Infect. Crit. Care"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.injury.2015.02.020","article-title":"Lateral versus Posterior Approach for Insertion of Hemiarthroplasties for Hip Fractures: A Randomised Trial of 216 Patients","volume":"46","author":"Parker","year":"2015","journal-title":"Injury"},{"key":"ref_12","first-page":"123","article-title":"Prospective Randomised Study of Direct Anterior Approach Versus Posterior Approach for Bipolar Hemiarthroplasty of the Hip","volume":"98","author":"Watanabe","year":"2016","journal-title":"Orthop. Procs."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Renken, F., Renken, S., Paech, A., Wenzl, M., Unger, A., and Schulz, A.P. (2012). Early Functional Results after Hemiarthroplasty for Femoral Neck Fracture: A Randomized Comparison between a Minimal Invasive and a Conventional Approach. BMC Musculoskelet. Disord., 13.","DOI":"10.1186\/1471-2474-13-141"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.1016\/j.injury.2019.06.006","article-title":"Hip Hemiarthroplasty for Senile Femoral Neck Fractures: Minimally Invasive SuperPath Approach versus Traditional Posterior Approach","volume":"50","author":"Jianbo","year":"2019","journal-title":"Injury"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1177\/1120700019872117","article-title":"Direct Anterior versus Posterolateral Approach for Bipolar Hip Hemiarthroplasty in Femoral Neck Fractures: A Prospective Randomised Study","volume":"30","author":"Verzellotti","year":"2020","journal-title":"HIP Int."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.1007\/s00198-018-4557-y","article-title":"Biomarkers of Muscle Damage Increased in Anterolateral Compared to Direct Lateral Approach to the Hip in Hemiarthroplasty: No Correlation with Clinical Outcome: Short-Term Analysis of Secondary Outcomes from a Randomized Clinical Trial in Patients with a Displaced Femoral Neck Fracture","volume":"29","author":"Ugland","year":"2018","journal-title":"Osteoporos. Int."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s004020100345","article-title":"Comparison of Two Different Posterior Approachs for Hemiarthroplasty of the Hip","volume":"122","author":"Herrera","year":"2002","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Saxer, F., Studer, P., Jakob, M., Suhm, N., Rosenthal, R., Dell-Kuster, S., Vach, W., and Bless, N. (2018). Minimally Invasive Anterior Muscle-Sparing versus a Transgluteal Approach for Hemiarthroplasty in Femoral Neck Fractures-a Prospective Randomised Controlled Trial Including 190 Elderly Patients. BMC Geriatr., 18.","DOI":"10.1186\/s12877-018-0898-9"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/0020-1383(93)90125-P","article-title":"Hemiarthroplasty of the Hip\u2014The Anterior or Posterior Approach? A Comparison of Surgical Approaches","volume":"24","author":"Keene","year":"1993","journal-title":"Injury"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/0020-1383(89)90091-0","article-title":"Hemiarthroplasty of the Hip and Dislocation","volume":"20","author":"Paton","year":"1989","journal-title":"Injury"},{"key":"ref_21","first-page":"327","article-title":"Dislocation after Hemiarthroplasty of the Hip: A Comparison of the Dislocation Rate after Posterior and Lateral Approaches to the Hip","volume":"76","author":"Unwin","year":"1994","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/j.injury.2014.12.016","article-title":"Outcomes of 807 Thompson Hip Hemiarthroplasty Procedures and the Effect of Surgical Approach on Dislocation Rates","volume":"46","author":"Abram","year":"2015","journal-title":"Injury"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1007\/s00264-012-1624-4","article-title":"Dorsal versus Transgluteal Approach for Hip Hemiarthroplasty: An Analysis of Early Complications in Seven Hundred and Four Consecutive Cases","volume":"36","author":"Biber","year":"2012","journal-title":"Int. Orthop."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/17453670710014996","article-title":"Dislocation of Hemiarthroplasty after Femoral Neck Fracture: Better Outcome after the Anterolateral Approach in a Prospective Cohort Study on 739 Consecutive Hips","volume":"79","author":"Enocson","year":"2008","journal-title":"Acta Orthop."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/17453674.2016.1250480","article-title":"Posterior Approach Compared to Direct Lateral Approach Resulted in Better Patient-Reported Outcome after Hemiarthroplasty for Femoral Neck Fracture: 20,908 Patients from the Norwegian Hip Fracture Register","volume":"88","author":"Kristensen","year":"2017","journal-title":"Acta Orthop."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1302\/0301-620X.98B4.36626","article-title":"The Surgical Approach for Hemiarthroplasty Does Not Influence Patient-Reported Outcome: A National Survey of 2118 Patients with One-Year Follow-Up","volume":"98","author":"Leonardsson","year":"2016","journal-title":"Bone Jt. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.arth.2008.02.019","article-title":"Hip Dislocation After Modular Unipolar Hemiarthroplasty","volume":"24","author":"Ninh","year":"2009","journal-title":"J. Arthroplast."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1080\/00016470310013644","article-title":"Factors Predisposing to Dislocation of the Thompson Hemiarthroplasty: 22 Dislocations in 338 Patients","volume":"74","author":"Pajarinen","year":"2003","journal-title":"Acta Orthop. Scand."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1016\/j.injury.2017.03.024","article-title":"Posterior versus Lateral Approach for Hemiarthroplasty after Femoral Neck Fracture: Early Complications in a Prospective Cohort of 583 Patients","volume":"48","author":"Westberg","year":"2017","journal-title":"Injury"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"85","DOI":"10.5312\/wjo.v4.i2.85","article-title":"Bipolar Hemiarthroplasty for Femoral Neck Fracture Using the Direct Anterior Approach","volume":"4","author":"Baba","year":"2013","journal-title":"WJO"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"358","DOI":"10.3109\/17453674.2014.1002987","article-title":"Direct Anterior Hueter Approach Is a Safe and Effective Approach to Perform a Bipolar Hemiarthroplasty for Femoral Neck Fracture: Outcome in 82 Patients","volume":"86","author":"Langlois","year":"2015","journal-title":"Acta Orthop."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s00590-016-1767-x","article-title":"Hip Hemiarthroplasty for Femur Neck Fractures: Minimally Invasive Direct Anterior Approach versus Postero-Lateral Approach","volume":"26","author":"Pala","year":"2016","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s00776-010-1541-6","article-title":"Minimally Invasive Intermuscular Approach Does Not Improve Outcomes in Bipolar Hemiarthroplasty for Femoral Neck Fracture","volume":"15","author":"Tsukada","year":"2010","journal-title":"J. Orthop. Sci."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1177\/1457496917748226","article-title":"Lateral and Posterior Approaches in Hemiarthroplasty","volume":"107","author":"Hongisto","year":"2018","journal-title":"Scand. J. Surg."},{"key":"ref_35","first-page":"e194","article-title":"Abductor Muscle Function and Trochanteric Tenderness after Hemiarthroplasty for Femoral Neck Fracture","volume":"30","author":"Hanas","year":"2016","journal-title":"J. Orthop. Trauma"},{"key":"ref_36","first-page":"4425","article-title":"Effects of Hardinge versus Moore approach on postoperative outcomes in elderly patients with hip fracture","volume":"9","author":"Ozan","year":"2016","journal-title":"Int. J. Clin. Exp. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1016\/j.otsr.2016.08.017","article-title":"Direct Lateral vs. Posterolateral Approach to Hemiarthroplasty for Femoral Neck Fractures","volume":"102","author":"Mukka","year":"2016","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"138","DOI":"10.3928\/01477447-20070201-05","article-title":"Dislocation after Hip Hemiarthroplasty: Anterior Versus Posterior Capsular Approach","volume":"30","author":"Bush","year":"2007","journal-title":"Orthopedics"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e1055","DOI":"10.3928\/01477447-20170925-08","article-title":"The Direct Anterior Approach Does Not Increase Return to Function following Hemiarthroplasty for Femoral Neck Fracture","volume":"40","author":"Carlson","year":"2017","journal-title":"Orthopedics"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/01.blo.0000183741.96610.c3","article-title":"Dislocation of Bipolar Hemiarthroplasty: Rate, Contributing Factors, and Outcome","volume":"442","author":"Sierra","year":"2006","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_41","first-page":"304","article-title":"Hemiarthroplasty of the Hip Using the Direct Anterior Approach","volume":"33","author":"Nogler","year":"2021","journal-title":"Oper. Orthop. Traumatol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1007\/s00590-019-02610-4","article-title":"The Optimal Approach in Hip Hemiarthroplasty: A Cohort of 1009 Patients","volume":"30","author":"Gardenbroek","year":"2020","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"2282","DOI":"10.1016\/j.injury.2019.10.013","article-title":"Hidden Blood Loss after Hip Hemiarthroplasty Using the SuperPATH Approach: A Retrospective Study","volume":"50","author":"Xu","year":"2019","journal-title":"Injury"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1007\/s40520-020-01696-9","article-title":"Direct Anterior Approach versus Direct Lateral Approach in Total Hip Arthroplasty and Bipolar Hemiarthroplasty for Femoral Neck Fractures: A Retrospective Comparative Study","volume":"33","author":"Spina","year":"2021","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.injury.2019.05.002","article-title":"Hip Precautions Not Meaningful after Hemiarthroplasty Due to Hip Fracture. Cluster-Randomized Study of 394 Patients Operated with Direct Anterolateral Approach","volume":"50","author":"Jobory","year":"2019","journal-title":"Injury"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s00590-021-02941-1","article-title":"Direct Anterior Approach Provides Better Functional Outcomes When Compared to Direct Lateral Approach in Hip Hemiarthroplasty following Femoral Neck Fracture","volume":"32","author":"Lakhani","year":"2022","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.1007\/s00264-017-3756-z","article-title":"The Minimally Invasive Anterolateral Approach versus the Traditional Anterolateral Approach (Watson-Jones) for Hip Hemiarthroplasty after a Femoral Neck Fracture: An Analysis of Clinical Outcomes","volume":"42","author":"Klem","year":"2018","journal-title":"Int. Orthop."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"3183","DOI":"10.1007\/s00402-021-04087-5","article-title":"Direct Anterior Approach Improves In-Hospital Mobility Following Hemiarthroplasty for Femoral Neck Fracture Treatment","volume":"142","author":"Ladurner","year":"2021","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcot.2014.11.004","article-title":"Heterotopic Ossification after Hemiarthroplasty of the Hip\u2014A Comparison of Three Common Approaches","volume":"6","author":"Corrigan","year":"2015","journal-title":"J. Clin. Orthop. Trauma"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e919993","DOI":"10.12659\/MSM.919993","article-title":"Direct Anterior Approach Versus Posterolateral Approach for Hemiarthroplasty in the Treatment of Displaced Femoral Neck Fractures in Geriatric Patients","volume":"26","author":"Neyisci","year":"2020","journal-title":"Med. Sci. Monit."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"137","DOI":"10.2147\/CIA.S194880","article-title":"Transtrochanteric Approach Can Provide Better Postoperative Care and Lower Complication Rate in the Treatment of Hip Fractures","volume":"14","author":"Gursoy","year":"2019","journal-title":"CIA"},{"key":"ref_52","first-page":"406","article-title":"Comparison of Surgical Complications Following Hip Hemiarthroplasty between the Posterolateral and Lateral Approaches","volume":"11","author":"Yavari","year":"2021","journal-title":"Int. J. Burns Trauma"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1016\/j.injury.2020.02.053","article-title":"Bipolar Hemiarthroplasty for the Treatment of Femoral Neck Fractures with Minimally Invasive Anterior Approach in Elderly","volume":"52","author":"Patczai","year":"2021","journal-title":"Injury"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"25096","DOI":"10.51894\/001c.25096","article-title":"Comparing Postoperative Leg Length Discrepancy and Femoral Offset Using Two Different Surgical Approaches for Hemiarthroplasty of the Hip","volume":"6","author":"Layson","year":"2021","journal-title":"Spartan Med. Res. J."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"3666","DOI":"10.1016\/j.injury.2021.06.036","article-title":"Management of Femoral Neck Fractures with the ALMIS Approach in Elderly Patients: Outcomes Compared to Posterior Approach","volume":"52","author":"Tsailas","year":"2021","journal-title":"Injury"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"3265","DOI":"10.1007\/s00402-021-04153-y","article-title":"SuperPath Approach Is a Recommendable Option in Frail Patients with Femoral Neck Fractures: A Case\u2013Control Study","volume":"142","author":"Cecere","year":"2021","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"33","DOI":"10.5371\/hp.2019.31.1.33","article-title":"Comparison of the Incidence of Intra-Operative Fractures in Hip Hemi-Arthroplasty Performed in Supine and Lateral Positions","volume":"31","author":"Kamo","year":"2019","journal-title":"Hip Pelvis"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"3173","DOI":"10.1007\/s00402-022-04602-2","article-title":"Minimal-Invasive Anterior Approach to the Hip Provides a Better Surgery-Related and Early Postoperative Functional Outcome than Conventional Lateral Approach after Hip Hemiarthroplasty following Femoral Neck Fractures","volume":"143","author":"Orth","year":"2022","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Fullam, J., Theodosi, P.G., Charity, J., and Goodwin, V.A. (2019). A Scoping Review Comparing Two Common Surgical Approaches to the Hip for Hemiarthroplasty. BMC Surg., 19.","DOI":"10.1186\/s12893-019-0493-9"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"732","DOI":"10.2340\/17453674.2022.4547","article-title":"Posterolateral or Direct Lateral Approach for Cemented Hemiarthroplasty after Femoral Neck Fracture (APOLLO): Protocol for a Multicenter Randomized Controlled Trial with Economic Evaluation and Natural Experiment Alongside","volume":"93","author":"Tol","year":"2022","journal-title":"Acta Orthop."},{"key":"ref_61","unstructured":"(2023, May 01). Aofoundation.org. Available online: https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/proximal-femur\/femoral-neck-fracture-subcapital-displaced\/hemiarthroplasty#general-considerations."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1016\/j.arth.2017.12.029","article-title":"Surgical Approaches and Hemiarthroplasty Outcomes for Femoral Neck Fractures: A Meta-Analysis","volume":"33","author":"Krijnen","year":"2018","journal-title":"J. Arthroplast."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/s11999-015-4639-5","article-title":"Does Surgical Approach Affect Patient-Reported Function After Primary THA?","volume":"474","author":"Graves","year":"2016","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1186\/s13018-018-0929-4","article-title":"A Systematic Review and Meta-Analysis of Direct Anterior Approach versus Posterior Approach in Total Hip Arthroplasty","volume":"13","author":"Wang","year":"2018","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s00590-017-2033-6","article-title":"A Systematic Review and Meta-Analysis of the Direct Anterior Approach for Hemiarthroplasty for Femoral Neck Fracture","volume":"28","author":"Kunkel","year":"2018","journal-title":"Eur. J. Orthop. Surg. Traumatol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/7\/1220\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:03:26Z","timestamp":1760126606000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/7\/1220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,29]]},"references-count":65,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["medicina59071220"],"URL":"https:\/\/doi.org\/10.3390\/medicina59071220","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,29]]}}}