SuperPATH Minimally Invasive Approach to Total Hip Arthroplasty of Femoral Neck Fractures in the Elderly: Preliminary Clinical Results

Background: Femoral neck fractures are common injuries in the elderly population and are associated with high rates of morbidity and mortality. The aim of surgical intervention in these elderly patients is to restore them to the pre-fracture status as rapidly as possible. The aim of this study was to evaluate the role of total hip arthroplasty as a primary option in the management of these fractures and to compare the results with studies of other authors as available in literature.Methods: 45 patients with femoral neck fractures treated with cemented total hip arthroplasty were studied from January 2011 to January 2013 and were followed up for a minimum period of two years.Results: There were 18 males and 27 females ranging from 60 to 75 years of age. Mean age was 64.6 years. Majority (80%) of the fractures were completely displaced, Garden type 4 fractures followed by type 3 in 20% of cases. The most common mode of injury was a simple slip and fall. Excellent results were seen in 17 patients, good results in 24 patients and fair results in 4 patients. No poor results were seen. Conclusions: Cemented total hip arthroplasty is a very useful procedure for the primary treatment of femoral neck fractures in elderly patients. This procedure markedly improves the functional status of the patients and gives good functional results.

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HOPE-trial: hemiarthroplasty compared to total hip arthroplasty for displaced femoral neck fractures in the elderly-elderly, a randomized controlled trial

BMC Musculoskeletal Disorders ◽

10.1186/s12891-015-0763-3 ◽

2015 ◽

Vol 16 (1) ◽

Cited By ~ 8

Author(s):

Olof Sköldenberg ◽

Ghazi Chammout ◽

Sebastian Mukka ◽

Olle Muren ◽

Hans Nåsell ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Total Hip Arthroplasty ◽

Femoral Neck ◽

Hip Arthroplasty ◽

Controlled Trial ◽

The Elderly ◽

Femoral Neck Fractures ◽

Total Hip ◽

Randomized Controlled ◽

Displaced Femoral Neck Fractures

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Bmi and Gender do not Influence Surgical Accuracy during Minimally Invasive Total Hip Arthroplasty

Hip International ◽

10.5301/hip.2011.8861 ◽

2011 ◽

Vol 21 (6) ◽

pp. 688-693 ◽

Cited By ~ 4

Author(s):

Philipp Von Roth ◽

Markus Olivier ◽

Bernd Preininger ◽

Carsten Perka ◽

Robert Hube

Keyword(s):

Total Hip Arthroplasty ◽

Minimally Invasive ◽

Hip Arthroplasty ◽

Operation Time ◽

Harris Hip Score ◽

Minimally Invasive Approach ◽

Invasive Approach ◽

Total Hip ◽

Implant Positioning ◽

And Gender

We investigated the accuracy of implant positioning during total hip arthroplasty (THA) through a minimally invasive approach in relation to body mass index (BMI) and gender by assessing 48 patients. Functional and radiological parameters were evaluated. BMI positively correlated with operation time (p=0.04), but BMI and gender had no influence on implant positioning. The Harris hip score (HHS) increased significantly (46.5±11.8 preoperatively, 92.1±9.7 postoperatively, p<0.0001). The surgical approach described resulted in reproducibility of implant positioning independent of influence by BMI or gender.

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