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Treatment of Femoral Neck Fractures: Partial Relief through Anterior Direct Approach

Jin Luo, Xi Chen

Keywords

Neck fractures; Hemiarthroplasty; Orthopedics.

Abstract

Femoral neck fractures are common injuries among senior population and rap present a significant cause of morbidity and mortality. Hemi Arthroplasty is most frequent choice for senior cases with different co-morbidities and reduced functional demands. The direct anterior approach is believed to accelerate functional recovery by limiting iatrogenic muscle damage. 84 cases were treated from January 2019 to September 2020 for femoral neck fracture and operated by partial hipsterism relief through direct anterior approach. We compared two groups, the first bone was operated by expert hipsterism surgeons and the alternate new operated by youthful surgeons. Were estimated for every case the operating time, the variation between pre-operative and post-operative hemoglobin value, the during of hospitalization, the blood transfusion rate, the early walking of cases and the eventual presence of preoperative complications. In our two groups youthful and elderly, there's a difference in operating time, in front of insignificant differences in other results. The immediate issues are cons, all cases started physiotherapy the day after surgery with complete weight bearing. We demonstrated that the approach is unremarkable indeed in youthful surgeons. For this reasons AMIS can be preferred to other approaches also in neck fractures, for hemi Arthroplasty and not only by expert’s hipsterism surgeons.