FUNCTIONAL RECOVERY AND PAIN OUTCOMES: A COMPARISON OF POSTERIOR AND LATERAL APPROACHES IN HIP HEMIARTHROPLASTY.
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Abstract
Aim: This study aimed to compare the functional outcomes of hip hemiarthroplasty performed using posterior and lateral surgical approaches, specifically evaluating outcomes at immediate postoperative, 4-week, 8-week, 3-month, and 6-month follow-up periods.
Background: Hip fractures, particularly in the elderly, are a significant health concern. Hemiarthroplasty is a common surgical option for femoral neck fractures, with posterior and lateral approaches being frequently used. This study investigates the comparative effectiveness of these two approaches.
Methods: A retrospective analysis was conducted on 83 patients who underwent hip hemiarthroplasty at GIMSH, Durgapur, between January 2018 and March 2019. Data collected included perioperative blood loss, operative time, length of hospital stay, Harris Hip Score (HHS) at specified follow-up intervals, and complication rates. Statistical analysis was performed to compare outcomes between the posterior (n=52) and lateral (n=32) approach groups.
Results: The majority of patients were elderly (90.36% aged ≥60 years), with a near-equal distribution of males and females. The posterior approach demonstrated marginally better outcomes in terms of intraoperative blood loss, operative time, initiation of weight-bearing, and HHS scores at final follow-up. The lateral approach showed a slight advantage in length of hospital stay. However, no statistically significant differences were observed between the two approaches for any measured parameter.
Conclusion: This study found no statistically significant difference in functional outcomes or complication rates between posterior and lateral approaches in hip hemiarthroplasty. Therefore, the choice of surgical approach should be determined by surgeon preference and experience.
References
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Dr. Sandip Mukherjee
Assistant Professor, Department of Orthopaedics, Gouri Devi Institute of Medical Sciences & Hospital, Durgapur