{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T12:35:44Z","timestamp":1793277344719,"version":"4.5.0"},"reference-count":18,"publisher":"Baishideng Publishing Group Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Orthop"],"abstract":"BACKGROUND<\/jats:p>\n Dislocation rates after hemiarthroplasty reportedly vary from 1% to 17%. This serious complication is associated with increased morbidity and mortality rates. Approaches to this surgery are still debated, with no consensus regarding the superiority of any single approach.<\/jats:p>\n AIM<\/jats:p>\n To compare early postoperative complications after implementing the direct anterior and posterior approaches (PL) for hip hemiarthroplasty after femoral neck fractures.<\/jats:p>\n METHODS<\/jats:p>\n This is a comparative, retrospective, single-center cohort study conducted at a university hospital. Between March 2008 and December 2018, 273 patients (a total of 280 hips) underwent bipolar hemiarthroplasties (n = 280) for displaced femoral neck fractures using either the PL (n = 171) or the minimally invasive direct anterior approach (DAA) (n = 109). The choice of approach was related to the surgeons\u2019 practices; the implant types were similar and unrelated to the approach. Dislocation rates and other complications were reviewed after a minimum follow-up of 6 mo.<\/jats:p>\n RESULTS<\/jats:p>\n Both treatment groups had similarly aged patients (mean age: 82 years), sex ratios, patient body mass indexes, and patient comorbidities. Surgical data (surgery delay time, operative time, and blood loss volume) did not differ significantly between the groups. The 30 d mortality rate was higher in the PL group (9.9%) than in the DAA group (3.7%), but the difference was not statistically significant (P = 0.052). Among the one-month survivors, a significantly higher rate of dislocation was observed in the PL group (14\/154; 9.1%) than in the DAA group (0\/105; 0%) (P = 0.002). Of the 14 patients with dislocation, 8 underwent revision surgery for recurrent instability (posterior group), and one of them had 2 additional procedures due to a deep infection. The rate of other complications (e.g. , perioperative and early postoperative periprosthetic fractures and infection-related complications) did not differ significantly between the groups.<\/jats:p>\n CONCLUSION<\/jats:p>\n These findings suggest that the DAA to bipolar hemiarthroplasty for patients with femoral neck fractures is associated with a lower dislocation rate (< 1%) than the PL.<\/jats:p>","DOI":"10.5312\/wjo.v15.i1.22","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T02:18:06Z","timestamp":1705371486000},"page":"22-29","source":"Crossref","is-referenced-by-count":17,"title":["Complication rates after direct anterior vs<\/i> posterior approach for hip hemiarthroplasty in elderly individuals with femoral neck fractures"],"prefix":"10.5312","volume":"15","author":[{"given":"Tatiana","family":"Charles","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bloemers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilal","family":"Kapanci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Jayankura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.01.025"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1177\/1120700020931766"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2014.1002987"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B4.36626"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2642-1"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.12.029"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-017-2033-6"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1535-4"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001063"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B4.3403602"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02610-4"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.04.003"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0249364"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03725.x"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30058-1"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000439"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.03.024"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.02.004"}],"container-title":["World Journal of Orthopedics"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v15\/i1\/22.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v15\/i1\/22.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T02:18:21Z","timestamp":1705371501000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v15\/i1\/22.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,18]]},"references-count":18,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.5312\/wjo.v15.i1.22","relation":{},"ISSN":["2218-5836"],"issn-type":[{"value":"2218-5836","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1,18]]}}}