SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018
A systematic review and meta-analysis of the direct anterior approach for hemiarthroplasty for femoral neck fracture.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. 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 31 papers, 5 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
31 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Surgical approaches for inserting hemiarthroplasty of the hip in people with hip fractures.The Cochrane database of systematic reviews · 2025Pooled it
- Patient-related Predictors for the Functional Outcome of SuperPATH Hemiarthroplasty versus Conventional Approach Hemiarthroplasty: A Systematic Review and Meta-regression Analysis of Randomized Controlled Trials.Orthopaedic surgery · 2024Pooled it
- Hemiarthroplasty through SuperPATH versus hemiarthroplasty through conventional approaches in patients with femoral neck fractures: a systematic review and meta-analysis of randomized controlled trials.Scientific reports · 2023Pooled 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 approach versus posterolateral approach hemiarthroplasty for treating femoral neck fractures in the elderly: a prospective controlled study.Journal of orthopaedic surgery and research · 2025Trial
- Transition from Straight Lateral to Direct Anterior Approach in Hip Hemiarthroplasty: Preservation of Independent Living and Lower 1-Year Mortality.Journal of clinical medicine · 2026Article
- Bipolar hemiarthroplasty for femoral neck fractures in elderly patients: a retrospective study of 1001 patients.Archives of orthopaedic and trauma surgery · 2025Article
- No benefit in biomarkers assessing muscle damage for minimally invasive anterior over SPAIRE approach in hemiarthroplasty : a subgroup analysis with 100 patients from a randomized controlled trial.Bone & joint open · 2025Article
- Direct anterior approach for femoral neck fractures: Why and how?Journal of clinical orthopaedics and trauma · 2025Article
- Direct anterior approach enhances early recovery outcomes in total hip arthroplasty among elderly individuals with femoral neck fractures: a propensity-matched cohort study.Journal of orthopaedic surgery and research · 2025Observational
- SPAIRE approach shows equivalent changes in bone mineral density as a conventional approach in femoral neck fracture patients : a sub-group analysis of 49 patients from a randomized controlled trial.Bone & joint open · 2025Article
- Comparison of surgical efficacy between direct anterior approach and posterolateral approach in the treatment of sarcopenia with femoral neck fractures.BMC geriatrics · 2024Article
- Anterior Versus Posterior Approach for Total Hip Arthroplasty in Femoral Neck Fractures.Arthroplasty today · 2024Article
- Evaluation of Outcome after Total Hip Arthroplasty for Femoral Neck Fracture: Which Factors Are Relevant for Better Results?Journal of clinical medicine · 2024Article
- Complication rates after direct anteriorWorld journal of orthopedics · 2024Article
- No Differences in Major In-Hospital Outcome Metrics When Comparing the Direct Lateral Approach to the Posterior Approach for Hemiarthroplasties After Traumatic Displaced Femoral Neck Fractures.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Direct anterior approach improves in-hospital mobility following hemiarthroplasty for femoral neck fracture treatment.Archives of orthopaedic and trauma surgery · 2022Article
- Direct Anterior versus Lateral Approach for Femoral Neck Fracture: Role in COVID-19 Disease.Journal of clinical medicine · 2022Article
- A comparison of different surgical approaches to hemiarthroplasty for the femoral neck fractures: A meta-analysis.Frontiers in surgery · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundWe performed a systematic review and meta-analysis to assess whether the direct anterior approach (DAA) is associated with improved functional and clinical outcomes compared to other surgical approaches for hemiarthroplasty for displaced femoral neck fractures. MATERIALS AND
methodsRandomized trials and cohort studies of hemiarthroplasty performed via DAA versus another surgical approach (anterolateral, lateral, posterolateral, posterior) were included. Our primary outcome was postoperative functional mobility. Secondary outcomes included overall complication rate, dislocation rate, perioperative fracture, infection rate, re-operation rate, overall mortality, operative time, pain, intra-operative blood loss, and length of stay.
resultsNine studies met inclusion criteria, comprising a total of 698 hips (330 direct anterior, 57 anterolateral, 89 lateral, 114 posterolateral, 108 posterior approach). With regard to functional mobility, DAA was favored in 4 studies, and no study favored another approach over DAA. DAA had a significantly lower dislocation rate compared to posterior capsular approaches. Analysis of other secondary outcomes did not identify statistically significant differences.
conclusionThis is the first systematic review and meta-analysis of the DAA for hemiarthroplasty. Available evidence suggests superior early functional mobility with the DAA. The DAA is associated with a significantly lower dislocation rate compared to posterior capsular approaches for hemiarthroplasty.
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Registered trials
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.