Surgical approaches in hemiarthroplasty for hip fracture

This study indicates that PA is associated with a higher reoperation rate after HA compared to the two other approaches. This is primarily due to high dislocation rate, despite a higher infection rate with DLA. EQ-5D-3L and EQ-VAS appear to favour ALA and PA 12 months post-surgery. Based on this study, traditional PA should be avoided in this patient group. ALA seems to be a safe alternative to the DLA.

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Publication Details

Journal
Bone & Joint Open
Published
2025-10-22
DOI
https://doi.org/10.1302/2633-1462.610.bjo-2025-0099.r1
Primary Topic
Hip and Femur Fractures
Type
article
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article

Surgical approaches in hemiarthroplasty for hip fracture

Terje O. Ugland, Eva Dybvik, Raymond A Tellefsen, Lars Nordsletten et al.
Bone & Joint Open
Hip and Femur Fractures
article

Surgical approaches in hemiarthroplasty for hip fracture

Terje O. Ugland, Eva Dybvik, Raymond A Tellefsen, Lars Nordsletten, Torbjørn Berge Kristensen, Håvard Visnes, Lene Bergendal Solberg, Jan-Erik Gjertsen
article en

Abstract

This study indicates that PA is associated with a higher reoperation rate after HA compared to the two other approaches. This is primarily due to high dislocation rate, despite a higher infection rate with DLA. EQ-5D-3L and EQ-VAS appear to favour ALA and PA 12 months post-surgery. Based on this study, traditional PA should be avoided in this patient group. ALA seems to be a safe alternative to the DLA.

Bone & Joint OpenVol. 6(10)
Oslo University Hospital (NO), University of Oslo (NO), Haukeland University Hospital (NO), Sørlandet Sykehus (NO), University of Bergen (NO)
Openalex Percentile: Top 53%
Hip and Femur Fractures
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