Anterolateral hemiarthroplasty demonstrated reduced periprosthetic bone loss vs. direct lateral HA .
Less periprosthetic bone loss following the anterolateral approach to the hip compared with the direct lateral approach
Acta Orthop. 2018 Feb;89(1):23-2851 patients with a displaced fracture of the femoral neck and scheduled for treatment with hemiarthroplasty were randomized to surgery completed through either an anterolateral approach or a direct lateral approach. The purpose of this study was to examine if the use of an anterolateral approach led to significantly smaller loss of periprosthetic bone mineral density when compared to the direct lateral approach. Follow-up using dual-energy x-ray absorptiometry was performed at 3 months and 6 months postoperatively. Results at 3 and 12 months demonstrated smaller total BMD reduction in the anterolateral group. When assessed by Gruen zones, significant differences between groups were noted in zones 1, 2, 6, and 7 at 3 months, and zone 6 alone at 12 months.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
