Journal of Clinical & Experimental Orthopaedics

Hip Partial Replacement through Anterior Direct Approach in the Treatment of Femoral Neck Fractures

Femoral neck fractures are common injuries among elderly population and rap
present a significant cause of morbility and mortality. Hemi Arthroplasty is most
frequent choice for elderly patients with different co morbidities and reduced
functional demands. The direct anterior approach is believed to accelerate
functional recovery by limiting iatrogenic muscle damage. 84 patients were treated
from January 2019 to September 2020 for femoral neck fracture and operated by
partial hip replacement through direct anterior approach. We recompared two
groups, the first one was operated by expert hip surgeons and the second new
operated by young surgeons. Were evaluated for every patient the operating time,
the variation between pre-operative and post-operative hemoglobin value, the
during of hospitalization, the blood transfusion rate, the early walking of patients
and the eventual presence of per-operative complications. In our two groups,
young and senior, there is a difference of operating time, in front of not significant
differences in other results. The immediate outcomes are positives, all patients
started physiotherapy the day after surgery with a complete weight bearing. We
demonstrated that the approach is repeatable even in young surgeons. For this
reasons AMIS can be preferred to other approaches also in neck fractures, for
hemi Arthroplasty and not only by expert’s hip surgeons.

Trivellin Giacomo