ArticleActa orthopaedica2015
Direct anterior Hueter approach is a safe and effective approach to perform a bipolar hemiarthroplasty for femoral neck fracture: outcome in 82 patients.
Article in Acta orthopaedica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06760949 (A Single Center Prospective Controlled Study of Direct Anterior Approach and Posterior Lateral Approach in the Treatment of Femoral Neck Fractures in Elderly Patients), which is not on this map. Cited by 20 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Single Center Prospective Controlled Study of Direct Anterior Approach and Posterior Lateral Approach in the Treatment of Femoral Neck Fractures in Elderly Patients
Who cites it
20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- What patient reported outcome measures are used in clinical trials in hip fracture? A systematic mapping review.BMC musculoskeletal disorders · 2026Pooled it
- Surgical approaches for inserting hemiarthroplasty of the hip in people with hip fractures.The Cochrane database of systematic reviews · 2025Pooled it
- Complications and early recovery following hip hemiarthroplasty through the direct anterior approach: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Does Surgical Approach Influence Complication Rate of Hip Hemiarthroplasty for Femoral Neck Fractures? A Literature Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- A systematic review and meta-analysis of the direct anterior approach for hemiarthroplasty for femoral neck fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Pooled it
- Direct anterior approach versus posterolateral approach hemiarthroplasty for treating femoral neck fractures in the elderly: a prospective controlled study.Journal of orthopaedic surgery and research · 2025Trial
- Direct anterior and direct lateral approach in patients with femoral neck fractures receiving a total hip arthroplasty: a randomized controlled trial.Acta orthopaedica · 2025Trial
- Complete Joint Capsule-Preserving Posterior Approach in Hemiarthroplasty for Femoral Neck Fractures: A Technical Note and Learning Curve Analysis of Trainee Surgeons.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Comparison of surgical efficacy between direct anterior approach and posterolateral approach in the treatment of sarcopenia with femoral neck fractures.BMC geriatrics · 2024Article
- Enhancing recovery: surgical techniques and rehabilitation strategies after direct anterior hip arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Review
- Incidence of dislocation and associated risk factors in patients with a femoral neck fracture operated with an uncemented hemiarthroplasty.BMC musculoskeletal disorders · 2024Article
- Complication rates after direct anteriorWorld journal of orthopedics · 2024Article
- Direct Anterior Approach Provides Superior Prosthesis Adaptability in the Early Postoperative Period of Total Hip Arthroplasty.Orthopaedic surgery · 2023Article
- Comparison of Anterior and Lateral Approach in Hip Hemiarthroplasty for Femur Neck Fractures in the Elderly: Clinical and Radiographic Outcomes.Malaysian orthopaedic journal · 2022Article
- Direct anterior approach improves in-hospital mobility following hemiarthroplasty for femoral neck fracture treatment.Archives of orthopaedic and trauma surgery · 2022Article
- A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis.Frontiers in surgery · 2022Review
- Risk Factors with Multilevel Evidence for Dislocation in Patients with Femoral Neck Fractures After Hip Hemiarthroplasty: A Systematic Review.Indian journal of orthopaedics · 2020Article
- Promising outcomes of hip mosaicplasty by minimally invasive anterior approach using osteochondral autografts from the ipsilateral femoral head.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Disorder-related risk factors for revision total hip arthroplasty after hip hemiarthroplasty in displaced femoral neck fracture patients: a nationwide population-based cohort study.Journal of orthopaedic surgery and research · 2016Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe direct anterior (DA) approach in total hip arthroplasty has recently been associated with faster functional recovery than the posterolateral (PL) approach. We hypothesized that the same should hold for the DA approach in bipolar hemiarthroplasty for femoral neck fractures. PATIENTS AND
methods82 patients with a displaced femoral neck fracture and candidates for bipolar hemiarthroplasty were enrolled after IRB approval in this prospective non-randomized comparative study (DA: n = 38; PL: n = 44). The postoperative protocols were similar in both groups. Evaluation included surgical complications, component placement, and early functional outcomes, assessed 6 weeks postoperatively using a timed up-and-go (TUG) test. The incidence of dislocation was assessed by telephone interview at least 1 year after the surgery.
resultsThe DA-group patients had better results in the TUG test than the PL-group patients 6 weeks after surgery: half were under 19 seconds as opposed to only one third for PL (p = 0.06). We did not record any intraoperative femoral fracture or any lateral femoral cutaneous neuropraxia in the DA group. We observed a significant difference (p = 0.04) in lateral offset between the PL group (4.2 (SD 6.4) mm) and the DA group (-1.6 (SD 8.5) mm). Stem alignment was similar between groups. The dislocation rate for DA patients was lower than for PL patients (1 of 38 cases vs. 9 of 44 cases; p = 0.02).
interpretationOur findings indicate that relative to the posterolateral approach, the direct anterior approach for bipolar hemiarthroplasty may improve gait in the early postoperative period and decrease the dislocation rate.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.