Comparison of the Piriformis-Sparing and Posterolateral Approaches in Cementless Hemiarthroplasty for Femoral Neck Fractures
Year: 2025
Type: article
Study design: Observational Study
Abstract: Purpose: Purpose: With a focus on dislocation rates, this study aims to compare the posterior or posterolateral approach (PLA) with the piriformis-sparing approach (PSA) in elderly patients undergoing cementless hemiarthroplasty for displaced femoral neck fractures.Materials and Methods: Materials and Methods: This retrospective study included 194 patients who met the eligibility criteria and underwent surgery using the PLA (n=140) or the PSA (n=54).Patient data were reviewed for age, sex, body mass index, postoperative dislocation rate, presence of neurological conditions or other comorbidities, surgical duration, length of hospital stay, follow-up period, infection rate, admission to the intensive care unit (ICU), and mortality rate.Results: Results: In Group 1 (PLA), 12 out of 140 patients (8.6%) experienced dislocation within a postoperative period of 1 to 5 years.Dislocations occurred in three out of 54 patients (5.6%) in Group 2 (PSA).Although the difference was not statistically significant (P=0.565), a significant difference was observed between the groups in terms of mortality (P=0.015) and surgical duration (P=0.0001).Conclusion: Conclusion: In terms of functional outcomes and postoperative pain management, the advantages of modified PLA have been highlighted in recent studies.Although no statistically significant difference was found in this study, a 3% lower dislocation rate was demonstrated by the PSA as compared to the PLA.
Source: Hip & Pelvis
Language: English
Topic: Hip and Femur Fractures
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4416890848