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
Purpose The minimally invasive (MI) anterolateral approach is a relatively new approach for the treatment of femoral neck fractures with a hemiarthroplasty (HA). There is limited research available presenting clinical outcomes after an HA using the MI approach. Therefore the aim of the present study...
Gespeichert in:
| Veröffentlicht in: | International orthopaedics 2018-08, Vol.42 (8), p.1943-1948 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1948 |
|---|---|
| container_issue | 8 |
| container_start_page | 1943 |
| container_title | International orthopaedics |
| container_volume | 42 |
| creator | de Jong, Louis Klem, Taco M. A. L. Kuijper, Tjallingius M. Roukema, Gert R. |
| description | Purpose
The minimally invasive (MI) anterolateral approach is a relatively new approach for the treatment of femoral neck fractures with a hemiarthroplasty (HA). There is limited research available presenting clinical outcomes after an HA using the MI approach. Therefore the aim of the present study was to compare clinical outcomes of the MI and traditional anterolateral approaches in patients after HA.
Methods
Data were extracted from a prospective hip fracture database and completed by retrospective review of the electronic medical records. Patients undergoing HA in a level II trauma teaching hospital between 1 January 2011 and 1 May 2016 were enrolled.
Results
A total of 463 patients (67% female), 223 in the MI group (mean age, 82 ± 7) and 240 (mean age, 81 ± 8) in the traditional anterolateral group were enrolled. No significant difference was found in baseline characteristics. The surgeons experience measured by the operations performed per year was in favour of the MI anterolateral group (26 vs 18,
p
|
| doi_str_mv | 10.1007/s00264-017-3756-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1989558095</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1989558095</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-32a8a05a78595df51dfbb12b7296a82787b274e907bd1e60bdb06ee0e0398afe3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EotvCA3BBPpZDwHbiOOaGKiigSlyKOFqTZExcnDjYzkrb1-PF8GoLJ4Q08hzm-3-N5yfkBWevOWPqTWJMtE3FuKpqJdvq_hHZ8aYWleRaPiY7Vje8Eq2WZ-Q8pTtWwLbjT8mZ0DVTrOY78ut2Qjq7xc3g_YG6ZQ_J7ZHCkjEGD-UFT2FdY4BhonuMaUs0F1GOMLrswnKc_5u-_AY5haX6HBZMr6gNkU5upRPODmKeYlg9pHygYIuQArU4h6PBgsMPaiMMeYv4triXAn9ILtFg6eDLukPBwpaHMGN6Rp5Y8AmfP_QL8vXD-9urj9XNl-tPV-9uqqFumlzVAjpgElQntRyt5KPtey56JXQLnVCd6oVqUDPVjxxb1o89axEZslp3YLG-IJcn3_K9nxumbGaXBvQeFgxbMlx3WsqOaVlQfkKHGFKKaM0ay4njwXBmjtmZU3amRGKO2Zn7onn5YL_1M45_FX_CKoA4AamMlu8YzV3YYrlM-o_rb_hpqyU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1989558095</pqid></control><display><type>article</type><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</title><source>EZB-FREE-00999 freely available EZB journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>de Jong, Louis ; Klem, Taco M. A. L. ; Kuijper, Tjallingius M. ; Roukema, Gert R.</creator><creatorcontrib>de Jong, Louis ; Klem, Taco M. A. L. ; Kuijper, Tjallingius M. ; Roukema, Gert R.</creatorcontrib><description>Purpose
The minimally invasive (MI) anterolateral approach is a relatively new approach for the treatment of femoral neck fractures with a hemiarthroplasty (HA). There is limited research available presenting clinical outcomes after an HA using the MI approach. Therefore the aim of the present study was to compare clinical outcomes of the MI and traditional anterolateral approaches in patients after HA.
Methods
Data were extracted from a prospective hip fracture database and completed by retrospective review of the electronic medical records. Patients undergoing HA in a level II trauma teaching hospital between 1 January 2011 and 1 May 2016 were enrolled.
Results
A total of 463 patients (67% female), 223 in the MI group (mean age, 82 ± 7) and 240 (mean age, 81 ± 8) in the traditional anterolateral group were enrolled. No significant difference was found in baseline characteristics. The surgeons experience measured by the operations performed per year was in favour of the MI anterolateral group (26 vs 18,
p
< 0.001). The median operating time for an MI approach was shorter (53 vs 69 min,
p
< 0.001). No significant differences were found in mortality rates (
p
= 0.131) and post-operative complications: haematomas (
p
= 0.63), dislocations (
p
= 0.63), deep surgical site infections (
p
= 0.66) and re-operations.
Conclusions
Our findings show the MI anterolateral approach has a minimally shorter operation time with no difference in post-operative complications and clinical outcomes. We, therefore, conclude that the MI anterolateral approach is a safe alternative for the traditional anterolateral approach with an improved operation time, a smaller incision and less surrounding tissue damage.
Level of evidence
Prognostic level III retrospective cohort study.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-017-3756-z</identifier><identifier>PMID: 29307031</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Original Paper ; Orthopedics</subject><ispartof>International orthopaedics, 2018-08, Vol.42 (8), p.1943-1948</ispartof><rights>SICOT aisbl 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-32a8a05a78595df51dfbb12b7296a82787b274e907bd1e60bdb06ee0e0398afe3</citedby><cites>FETCH-LOGICAL-c344t-32a8a05a78595df51dfbb12b7296a82787b274e907bd1e60bdb06ee0e0398afe3</cites><orcidid>0000-0002-4085-6861</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-017-3756-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-017-3756-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29307031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Jong, Louis</creatorcontrib><creatorcontrib>Klem, Taco M. A. L.</creatorcontrib><creatorcontrib>Kuijper, Tjallingius M.</creatorcontrib><creatorcontrib>Roukema, Gert R.</creatorcontrib><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</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
The minimally invasive (MI) anterolateral approach is a relatively new approach for the treatment of femoral neck fractures with a hemiarthroplasty (HA). There is limited research available presenting clinical outcomes after an HA using the MI approach. Therefore the aim of the present study was to compare clinical outcomes of the MI and traditional anterolateral approaches in patients after HA.
Methods
Data were extracted from a prospective hip fracture database and completed by retrospective review of the electronic medical records. Patients undergoing HA in a level II trauma teaching hospital between 1 January 2011 and 1 May 2016 were enrolled.
Results
A total of 463 patients (67% female), 223 in the MI group (mean age, 82 ± 7) and 240 (mean age, 81 ± 8) in the traditional anterolateral group were enrolled. No significant difference was found in baseline characteristics. The surgeons experience measured by the operations performed per year was in favour of the MI anterolateral group (26 vs 18,
p
< 0.001). The median operating time for an MI approach was shorter (53 vs 69 min,
p
< 0.001). No significant differences were found in mortality rates (
p
= 0.131) and post-operative complications: haematomas (
p
= 0.63), dislocations (
p
= 0.63), deep surgical site infections (
p
= 0.66) and re-operations.
Conclusions
Our findings show the MI anterolateral approach has a minimally shorter operation time with no difference in post-operative complications and clinical outcomes. We, therefore, conclude that the MI anterolateral approach is a safe alternative for the traditional anterolateral approach with an improved operation time, a smaller incision and less surrounding tissue damage.
Level of evidence
Prognostic level III retrospective cohort study.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu1DAQhi0EotvCA3BBPpZDwHbiOOaGKiigSlyKOFqTZExcnDjYzkrb1-PF8GoLJ4Q08hzm-3-N5yfkBWevOWPqTWJMtE3FuKpqJdvq_hHZ8aYWleRaPiY7Vje8Eq2WZ-Q8pTtWwLbjT8mZ0DVTrOY78ut2Qjq7xc3g_YG6ZQ_J7ZHCkjEGD-UFT2FdY4BhonuMaUs0F1GOMLrswnKc_5u-_AY5haX6HBZMr6gNkU5upRPODmKeYlg9pHygYIuQArU4h6PBgsMPaiMMeYv4triXAn9ILtFg6eDLukPBwpaHMGN6Rp5Y8AmfP_QL8vXD-9urj9XNl-tPV-9uqqFumlzVAjpgElQntRyt5KPtey56JXQLnVCd6oVqUDPVjxxb1o89axEZslp3YLG-IJcn3_K9nxumbGaXBvQeFgxbMlx3WsqOaVlQfkKHGFKKaM0ay4njwXBmjtmZU3amRGKO2Zn7onn5YL_1M45_FX_CKoA4AamMlu8YzV3YYrlM-o_rb_hpqyU</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>de Jong, Louis</creator><creator>Klem, Taco M. A. L.</creator><creator>Kuijper, Tjallingius M.</creator><creator>Roukema, Gert R.</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4085-6861</orcidid></search><sort><creationdate>20180801</creationdate><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</title><author>de Jong, Louis ; Klem, Taco M. A. L. ; Kuijper, Tjallingius M. ; Roukema, Gert R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-32a8a05a78595df51dfbb12b7296a82787b274e907bd1e60bdb06ee0e0398afe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Jong, Louis</creatorcontrib><creatorcontrib>Klem, Taco M. A. L.</creatorcontrib><creatorcontrib>Kuijper, Tjallingius M.</creatorcontrib><creatorcontrib>Roukema, Gert R.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Jong, Louis</au><au>Klem, Taco M. A. L.</au><au>Kuijper, Tjallingius M.</au><au>Roukema, Gert R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>42</volume><issue>8</issue><spage>1943</spage><epage>1948</epage><pages>1943-1948</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
The minimally invasive (MI) anterolateral approach is a relatively new approach for the treatment of femoral neck fractures with a hemiarthroplasty (HA). There is limited research available presenting clinical outcomes after an HA using the MI approach. Therefore the aim of the present study was to compare clinical outcomes of the MI and traditional anterolateral approaches in patients after HA.
Methods
Data were extracted from a prospective hip fracture database and completed by retrospective review of the electronic medical records. Patients undergoing HA in a level II trauma teaching hospital between 1 January 2011 and 1 May 2016 were enrolled.
Results
A total of 463 patients (67% female), 223 in the MI group (mean age, 82 ± 7) and 240 (mean age, 81 ± 8) in the traditional anterolateral group were enrolled. No significant difference was found in baseline characteristics. The surgeons experience measured by the operations performed per year was in favour of the MI anterolateral group (26 vs 18,
p
< 0.001). The median operating time for an MI approach was shorter (53 vs 69 min,
p
< 0.001). No significant differences were found in mortality rates (
p
= 0.131) and post-operative complications: haematomas (
p
= 0.63), dislocations (
p
= 0.63), deep surgical site infections (
p
= 0.66) and re-operations.
Conclusions
Our findings show the MI anterolateral approach has a minimally shorter operation time with no difference in post-operative complications and clinical outcomes. We, therefore, conclude that the MI anterolateral approach is a safe alternative for the traditional anterolateral approach with an improved operation time, a smaller incision and less surrounding tissue damage.
Level of evidence
Prognostic level III retrospective cohort study.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29307031</pmid><doi>10.1007/s00264-017-3756-z</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4085-6861</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0341-2695 |
| ispartof | International orthopaedics, 2018-08, Vol.42 (8), p.1943-1948 |
| issn | 0341-2695 1432-5195 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1989558095 |
| source | EZB-FREE-00999 freely available EZB journals; SpringerLink Journals - AutoHoldings |
| subjects | Medicine Medicine & Public Health Original Paper Orthopedics |
| 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 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T23%3A00%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20minimally%20invasive%20anterolateral%20approach%20versus%20the%20traditional%20anterolateral%20approach%20(Watson-Jones)%20for%20hip%20hemiarthroplasty%20after%20a%20femoral%20neck%20fracture:%20an%20analysis%20of%20clinical%20outcomes&rft.jtitle=International%20orthopaedics&rft.au=de%20Jong,%20Louis&rft.date=2018-08-01&rft.volume=42&rft.issue=8&rft.spage=1943&rft.epage=1948&rft.pages=1943-1948&rft.issn=0341-2695&rft.eissn=1432-5195&rft_id=info:doi/10.1007/s00264-017-3756-z&rft_dat=%3Cproquest_cross%3E1989558095%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1989558095&rft_id=info:pmid/29307031&rfr_iscdi=true |