Clinical Outcomes of Bipolar Hemiarthroplasty with a Conjoined Tendon-Preserving Posterior Approach for Femoral Neck Fractures

被引:0
作者
Tanaka, Hidetatsu [1 ,2 ]
Mori, Yu [2 ]
Noro, Atsushi [1 ]
Yano, Toshihisa [1 ]
Aizawa, Toshimi [2 ]
Masuda, Keiji [1 ]
机构
[1] Yamagata City Hosp Saiseikan, Dept Orthopaed Surg, 3-26 Nanokamachi, Yamagata 9908533, Japan
[2] Tohoku Univ, Grad Sch Med, Dept Orthopaed Surg, 1-1 Seiryo Machi,Aoba Ku, Sendai 9808574, Japan
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 03期
关键词
conjoined tendon-preserving posterior; bipolar hemiarthroplasty; femoral neck fracture; postoperative dislocation; elderly person; body mass index; complication; TOTAL HIP-ARTHROPLASTY; DISLOCATION; PALSY; STABILITY; COMPLICATIONS; REPLACEMENT; MORTALITY; ANTERIOR; INJURY; REPAIR;
D O I
10.3390/medicina60030356
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: The conventional posterior approach in the lateral decubitus position is widely used for femoral neck fractures in femoral hemiarthroplasty. Postoperative dislocation is the major problem with this approach. The conjoined tendon-preserving posterior (CPP) approach is a less invasive surgical approach than the conventional posterior approach to the hip, maintains posterior stability, and preserves short external rotators and joint capsules. However, the mention was required to avoid muscle damage and whether muscle damage affects postoperative dislocation or not. The current study aimed to evaluate the clinical results of the CPP approach in hemiarthroplasty for femoral neck fractures and identify muscle damage risk factors. Materials and Methods: This study was a retrospective cohort study and included 170 hips in 168 patients. The mean age at the operation was 81.2 years. The preservation rate of the internal obturator muscle and gemellus inferior muscle and factors related to intraoperative short rotator muscle injury were investigated retrospectively. The postoperative complications and the relation between muscle damage and postoperative dislocation were investigated. Results: In the four hips (2.3%) with the obturator internus muscle damage, thirty-eight hips (22.4%) with gemellus inferior muscle damage were detected; in the muscle-damaged cases, the high body mass index (BMI) was significantly higher. The complication occurred in four hips (2.3%), including postoperative posterior dislocation in one hip without muscle damage (0.6%). Postoperative infection occurred in one hip (0.6%), and peroneal or sciatic nerve paralysis was suspected in two hips (1.1%). Conclusions: Compared to the conventional posterior approach in previous reports, the CPP approach reduces postoperative dislocation. A higher BMI is a risk factor for muscle damage, and the gemellus inferior muscle damage has no effect on postoperative dislocation. The CPP approach for BHA appeared to be an effective treatment method.
引用
收藏
页数:11
相关论文
共 50 条
[31]   Direct anterior compared to posterior approach for hip hemiarthroplasty following femoral neck fractures [J].
Wu, Kevin A. ;
Krez, Alexandra N. ;
Anastasio, Albert T. .
WORLD JOURNAL OF ORTHOPEDICS, 2024, 15 (06)
[32]   In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures [J].
Voskuijl, Timothy ;
Neuhaus, Valentin ;
Kinaci, Ahmet ;
Vrahas, Mark ;
Ring, David .
ARCHIVES OF BONE AND JOINT SURGERY-ABJS, 2014, 2 (03) :151-156
[33]   Bipolar hemiarthroplasty for femoral neck fracture using the direct anterior approach [J].
Tomonori Baba ;
Katsuo Shitoto ;
Kazuo Kaneko .
World Journal of Orthopedics, 2013, (02) :85-89
[34]   Bipolar hemiarthroplasty for femoral neck fracture using the direct anterior approach [J].
Baba, Tomonori ;
Shitoto, Katsuo ;
Kaneko, Kazuo .
WORLD JOURNAL OF ORTHOPEDICS, 2013, 4 (02) :85-89
[35]   Bipolar Hemiarthroplasty in Femoral Neck Fractures - Impact of Duration of Surgery, Time of Day and the Surgeon's Experience on the Complication Rate [J].
Schliemann, B. ;
Seybold, D. ;
Gessmann, J. ;
Fehmer, T. ;
Schildhauer, T. A. ;
Muhr, G. .
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE, 2009, 147 (06) :689-693
[36]   Dislocation of bipolar hip hemiarthroplasty through a postero-lateral approach for femoral neck fractures: A cohort study [J].
Sebastian Mukka ;
Jenny Lindqvist ;
Sara Peyda ;
Cyrus Brodén ;
Sarwar Mahmood ;
Hamid Hassany ;
Arkan Sayed-Noor .
International Orthopaedics, 2015, 39 :1277-1282
[37]   Functional Outcome of Intracapsular Femoral Neck Fractures Treated by Bipolar Hemiarthroplasty [J].
Tunio, Zamir Hussain ;
Jhatiyal, Rizwan Ali ;
Akhund, Muhammad Azeem ;
Abbasi, Muhammad Kashif ;
Maheshwari, Lachman Das ;
Memon, Abdul Rauf .
PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES, 2021, 15 (05) :988-991
[38]   Cemented versus cementless bipolar hemiarthroplasty for femoral neck fractures in the elderly [J].
Elmenshawy, Ahmed Fikry ;
Salem, Khaled Hamed .
EFORT OPEN REVIEWS, 2021, 6 (05) :380-386
[39]   Direct anterior versus posterolateral approach for bipolar hip hemiarthroplasty in femoral neck fractures: a prospective randomised study [J].
Verzellotti, Simone ;
Candrian, Christian ;
Molina, Mauro ;
Filardo, Giuseppe ;
Alberio, Riccardo ;
Grassi, Federico A. .
HIP INTERNATIONAL, 2020, 30 (06) :810-817
[40]   Direct anterior approach versus direct lateral approach in total hip arthroplasty and bipolar hemiarthroplasty for femoral neck fractures: a retrospective comparative study [J].
Spina, Mauro ;
Luppi, Valentina ;
Chiappi, Jacopo ;
Bagnis, Francesco ;
Balsano, Massimo .
AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2021, 33 (06) :1635-1644