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Anterior vs Lateral Approach for Hemiarthroplasty in Femoral Neck Fracture
November 2025
Anterior vs Lateral Approach for Hemiarthroplasty in Femoral Neck Fracture
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
The John Charnley Award: The Anterior Approach Does Not Improve Recovery after Hemiarthroplasty for Femoral Neck Fracture. A Randomized Controlled Trial.
J Arthroplasty . 2025 Aug;40(8S1):S17-S24.e1.Synopsis
One hundred and sixteen patients with displaced femoral neck fractures were randomized to receive hemiarthroplasty via the anterior approach (AA) (n=58) or the lateral approach (LA) (n=58). The primary outcome was function at 6 weeks on the Barthel-20 Index. Secondary outcomes included EQ-5D, pain (VAS; plus 5-day opioid use), length of stay (acute and to rehab discharge), complications (medical a...
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