ArticleInternational orthopaedics2018
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.
Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled 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
- Factors influencing the outcomes of minimally invasive total hip arthroplasty: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- Total hip arthroplasty: minimally invasive surgery or not? Meta-analysis of clinical trials.International orthopaedics · 2019Pooled it
- Comparison of morphological changes of gluteus medius and abductor strength for total hip arthroplasty via posterior and modified direct lateral approaches.International orthopaedics · 2019Trial
- [Does endoprosthetic treatment of medial femoral neck fractures in obese patients using a minimally invasive anterolateral approach have a higher complication rate? : A retrospective case-control study].Orthopadie (Heidelberg, Germany) · 2026Article
- A comparison of the minimally invasive and traditional lateral approaches for hemiarthroplasty following a femoral neck fracture shows reduced postoperative pain and fewer blood transfusions.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Comparison of Short-Term Outcomes of DSA and ALMIS Approach for Bipolar Cemented Hemiarthroplasty in Patients with Neck of Femur Fracture.Journal of clinical medicine · 2024Article
- Direct anterior approach improves in-hospital mobility following hemiarthroplasty for femoral neck fracture treatment.Archives of orthopaedic and trauma surgery · 2022Article
- Minimally invasive anterolateral approach versus direct anterior approach total hip arthroplasty in the supine position: a prospective study based on early postoperative outcomes.Journal of orthopaedic surgery and research · 2022Article
- Outcomes of the Supine Anterior-based Muscle-sparing Approach for Primary and Revision Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Direct anterior approach provides better functional outcomes when compared to direct lateral approach in hip hemiarthroplasty following femoral neck fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Fractures around the hip: inducing life-like fractures as a basis for enhanced surgical training.Archives of orthopaedic and trauma surgery · 2021Article
- Risk Factors with Multilevel Evidence for Dislocation in Patients with Femoral Neck Fractures After Hip Hemiarthroplasty: A Systematic Review.Indian journal of orthopaedics · 2020Article
- Article
- The optimal approach in hip hemiarthroplasty: a cohort of 1009 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Never too old for hip arthroplasty: a 111-year-old woman walks out of hospital-a case report and literature review.Annals of translational medicine · 2020Article
- Treatment of femoral neck nonunion with a new fixation construct through the Watson-Jones approach.Journal of orthopaedic translation · 2019Article
- Minimally invasive open reduction combined with proximal femoral hollow locking plate in the treatment of Pauwels type III femoral neck fracture.The Journal of international medical research · 2019Article
- Closed Limb Fractures With Compromised Vascularization: A Narrative Review.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2019Review
- The anterior-based muscle-sparing approach to the hip: the "other" anterior approach to the hip.International orthopaedics · 2019Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe 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.
methodsData 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.
resultsA 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.
conclusionsOur 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.
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