TITLE:
Comparison of DAA and PLA Approaches for Total Hip Replacement in the Treatment of Femoral Neck Fractures
AUTHORS:
Dun Liu, Jinpeng Zheng, Shuan Liu, Mingyong Zhang, Bing Hu
KEYWORDS:
Total Hip Replacement, Femoral Neck Fractures, Direct Anterior Approach, Posterolateral Approach, Clinical Effect
JOURNAL NAME:
Surgical Science,
Vol.13 No.12,
December
28,
2022
ABSTRACT: Objectives: Femoral neck fractures are becoming more common
within nowadays. This research is to explore the clinical effect of primary
total hip replacement (THA) via direct anterior approach (DAA) and
posterolateral approach (PLA) in the treatment of femoral neck fracture. Methods: Retrospective analysis of 100 cases of elderly
patients with femoral neck fracture who underwent total hip arthroplasty
admitted to Tianyou Hospital affiliated to Wuhan University of Science and
Technology from January 2019 to January 2022. 50 patients treated with DAA
approach were included in the observation group, and 50 patients treated with
PLA approach were included in the control group. The operation indexes, postoperative
acetabular abduction angle and anteversion angle, hip joint function, Harris
score and complications were compared between the two groups. Result: The length of incision in the observation group was
shorter than that in the control group, and the amount of intraoperative
bleeding and postoperative hospital stay were shorter than those in the control
group (P 0.05); Harris score of hip joint: 6 months after operation, the anterior approach
group was significantly higher than the posterolateral approach group (P 0.05); The total incidence of complications in the
observation group was lower than that in the control group, with a
statistically significant difference (P Conclusion: DAA and PLA approaches for total hip replacement can
restore the hip joint structure of patients with femoral neck fractures and
achieve good results, but DAA approach has greater advantages in early
postoperative recovery, improvement of hip joint function, small surgical
injury, high application value, so it is recommended.