Wu Kevin A, Krez Alexandra N, Anastasio Albert T
Department of Orthopaedic Surgery, Duke University Hospital, Durham, NC 27710, United States.
Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, United States.
World J Orthop. 2024 Jun 18;15(6):605-607. doi: 10.5312/wjo.v15.i6.605.
The differences in complication rates between the direct anterior and posterior approaches for hemiarthroplasty in elderly patients with femoral neck fractures are not yet fully understood. Dislocation, a severe complication associated with increased mortality and often requiring additional surgery, may occur less frequently with the direct anterior approach compared to the posterior approach. Careful consideration of patient demographics is essential when planning the surgical approach. Future research in this area should focus on robust randomized controlled trials involving elderly patients recovering from femoral neck fractures.
老年股骨颈骨折患者半髋关节置换术直接前路与后路的并发症发生率差异尚未完全明确。脱位是一种与死亡率增加相关且常需额外手术的严重并发症,与后路相比,直接前路发生脱位的频率可能更低。在规划手术入路时,仔细考虑患者的人口统计学特征至关重要。该领域未来的研究应聚焦于针对从股骨颈骨折恢复的老年患者进行的严格随机对照试验。