Evidence map›Paper›PMID 33760998›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022

Direct anterior approach provides better functional outcomes when compared to direct lateral approach in hip hemiarthroplasty following femoral neck fracture.

Kushal Lakhani, Iñaki Mimendia, Juan Antonio Porcel, Lidia A Martín-Domínguez, Ernesto Guerra-Farfán, Víctor Barro

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Direct anterior approach for femoral neck fractures: Why and how?Journal of clinical orthopaedics and trauma · 2025
    Article
  5. Observational
  6. 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 · 2024
    Review
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kushal LakhaniDepartment of Traumatology and Orthopedic Surgery, Hospital Universitari Valld'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain. klakhani@vhebron.net.ORCID http://orcid.org/0000-0001-8801-2839
Iñaki MimendiaDepartment of Traumatology and Orthopedic Surgery, Hospital Universitari Valld'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Juan Antonio PorcelDepartment of Traumatology and Orthopedic Surgery, Hospital Universitari Valld'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Lidia A Martín-DomínguezDepartment of Traumatology and Orthopaedic Surgery, Hospital Universitari Dexeus, Barcelona, Spain.
Ernesto Guerra-FarfánDepartment of Traumatology and Orthopedic Surgery, Hospital Universitari Valld'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Víctor BarroDepartment of Traumatology and Orthopedic Surgery, Hospital Universitari Valld'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Universitat Autònoma de Barcelona · ESHospital Universitario Dexeus · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to compare the differences between direct anterior approach (DAA) and direct lateral approach (DLA) in hip hemiarthroplasty (HHA) after displaced femoral neck fracture (FNF) in early functional outcome, hospital length of stay, morbidity and mortality rates.

methodsThis non-interventional retrospective study, carried out at a tertiary trauma centre within the Spanish National Health System, included all patients who underwent a bipolar HHA between 1st January 2018 and 31st December 2019 performed by 2 of our hip unit surgeons.

resultsA total of 94 patients were included (40 in DAA group and 54 in DLA group). Median follow-up was 19.2 months (range 8-30.8 months). Postoperative degree of mobilisation showed statistically significant differences in favour of DAA group, where 35% of patients were able to walk with no assistance after surgery. DAA group had 1 day less of hospitalisation in contrast with DLA group overall (8 days vs 9 days, respectively, p < 0.05). Statistically significant differences were not detected in comparing postoperative complications, re-operations rates or 6-months mortality rate.

conclusionOur study highlights the benefits of DAA for HHA after displaced FNF in terms of postoperative mobilisation degree and hospitalisation length of stay when compared to DLA.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyHumansRetrospective StudiesTreatment OutcomeDirect anterior approachFemoral neck fractureHemiarthroplastyHip fractureLateral approachTrauma

Identifiers

PMID33760998
OpenAlexW3136024723

What OpenQuestion holds

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Registered trials

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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.