Comparative Study of Patients Who Underwent Hemiarthroplasty of Hip by Anterolateral and Posterolateral Approach
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 2
Abstract
Introduction: Fracture neck of femur is an extremely common fracture in the geriatric population (>60 years). Bipolar hip replacement can be done by anterolateral or posterolateral approach. Proponents of both approaches say that their approach is better than the other, but there is no consensus reached so far. Hence, we decided to carry out a comparative study of results of patients operated for cemented bipolar hemiarthroplasty by anterolateral and posterolateral approach. Material and Methods: We carried out a retrospective study of patients who underwent bipolar hemiarthroplasty between June 2013 and August 2017 by anterolateral and posterolateral approach. Pre-operative condition, radiographs, operative notes, post-operative complications, and clinical and functional outcome over a period of 1 month, 3 months, 6 months, and 12 months post-surgery were collected for all the cases. Patients in Group 1 were operated by posterolateral approach, and those in Group 2 were operated by anterolateral approach. We collected data of age, sex, trauma to surgery time, blood loss, infection, nerve injury, dislocation, hospital stay, time for returning to activities of daily living, etc. Results: There were significant differences between two groups as regards dislocation rate and operative time and modified Harris Hip Score. Mean operative time in minutes was 20.63 min in anterolateral group and 25.885 min in posterolateral group. Modified Harris Hip Score was 78.077 in anterolateral group and 71.407 in posterolateral group. There were three cases of posterior dislocation in posterolateral approach (n = 26) but one in the anterolateral approach (n = 27). Conclusion: We conclude that the anterolateral approach is slightly better compared to the posterolateral approach due to low dislocation rate and better functional recovery.
Authors and Affiliations
Swapnil Bhise, Santosh Borkar, Sameer Desai, Nitin Kanode
Keywords
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