Treatment of femoral neck fractures with bipolar hemiarthroplasty using a modified minimally invasive posterior approach in patients with neurological disorders.

@article{Han2012TreatmentOF,
  title={Treatment of femoral neck fractures with bipolar hemiarthroplasty using a modified minimally invasive posterior approach in patients with neurological disorders.},
  author={Suk Ku Han and Yong-Sik Kim and Soo-Hwan Kang},
  journal={Orthopedics},
  year={2012},
  volume={35 5},
  pages={
          e635-40
        }
}
Bipolar hemiarthroplasty is a useful treatment for displaced femoral neck fractures in elderly patients. Although uncommon, dislocation is problematic, particularly in older patients, and those with neurologic disorders are at an increased risk for this complication. Recently, a modified posterior approach to the hip intended to enhance hip joint stability by preserving the short external rotators was described. Therefore, the dislocation rate was compared after bipolar hemiarthroplasty using… 
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Conjoined tendon preserving posterior approach in hemiarthroplasty for femoral neck fractures: A prospective multicenter clinical study of 322 patients
TLDR
The CPP approach prevented postoperative dislocation following femoral hemiarthroplasty in elderly patients, with no CPP-associated specific adverse events.
FUNCTIONAL OUTCOME OF PIRIFORMIS MUSCLE SPARING POSTEROLATERAL APPROACH IN BIPOLAR HEMIARTHROPLASTY: A RETROSPECTIVE STUDY.
TLDR
Functional outcomes of piriformis sparing posterolateral approach for hemiarthroplasty of hip are assessed and it is concluded that this approach is safe, demands some technical aspects and should be used by surgeons using posterol lateral approach.
Early results of displaced femoral neck fragility fractures treated with supercapsular percutaneous-assisted total hip arthroplasty
Use of the supercapsular percutaneously assisted total hip approach for femoral neck fractures: surgical technique and case series
TLDR
The described case reports suggest the SuperPath technique is a viable option for bipolar hemiarthroplasty to treat femoral neck fractures and is presented as the first case series of this application.
Details of a Tendon–Sparing Posterior Approach in Hemiarthroplasty in the Treatment of Displaced Intracapsular Neck of Femur Fracture
TLDR
This study reports initial experience using the same SPAIRE technique for hemiarthroplasty to treat all patients with displaced intracapsular neck of femur fractures, irrespective of skeletal dimension and BMI, and suggests that the SPAIR technique is feasible and safe to be used in all cases required.
What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study
TLDR
After the anterolateral approach for treatment of femoral neck fracture using bipolar hemiarthroplasty, 6% of hips dislocated and 0.9% experienced dissociation, and cognitive dysfunction and discrepancy of offset were independent risk factors associated with an increased risk of prosthetic dislocation.
The role of superior capsular approach (SuperPATH) in the treatment of femoral neck fractures with hemiarthroplasty implantation: our experience and review of literature
TLDR
The SuperPATH is a real minimally invasive approach with a low rate of intra- and post-operative complications, allowing a faster functional recovery and potentially to a reduced infection rate compared to the conventional surgical approaches.
Hip Hemiarthroplasty in Neurologic or Cognitively Impaired Patients: A Case Series of Post-operative Dislocations
TLDR
The posterior approach was associated with all cases of dislocation in patients who also were neurologic or cognitively impaired, and the surgeon should consider avoiding the use of the posterior approach in this high-risk group of patients.
Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial
TLDR
This prospective randomized study reveals that the SuperPath technique was associated with shorter LOS, earlier time to walk and climb, and lower postoperative pain levels, which allowed early postoperative rehabilitation and faster recovery than conventional technique.
Effects of a modified muscle sparing posterior technique in hip hemiarthroplasty for displaced intracapsular fractures on postoperative function compared to a standard lateral approach (HemiSPAIRE): protocol for a randomised controlled trial
TLDR
This randomised controlled trial aims to compare the SPAIRE approach to the standard lateral approach, to determine if it allows patients to mobilise better and experience improved function after surgery.
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