Published online Feb 26, 2024. doi: 10.12998/wjcc.v12.i6.1076
Peer-review started: November 20, 2023
First decision: December 15, 2023
Revised: December 30, 2023
Accepted: January 27, 2024
Article in press: January 27, 2024
Published online: February 26, 2024
Processing time: 91 Days and 19.7 Hours
The traditional posterior lateral approach for hip replacement carries a high risk of hip dislocation. Surgeons have reduced the incidence of dislocation after hip replacement by modifying the surgical approach. Reducing the dislocation rate after bipolar hemiarthroplasty (BHA) surgery will greatly improve patient satisfaction and quality of life.
To improve the stability of the hip joint and reduce the postoperative dislocation rate through modifying the posterior lateral approach by preserving the conjoined tendon, piriformis tendon, and partial posterior joint capsule.
To explore the effectiveness and safety of the conjoined tendon-preserving posterior lateral (CPP) approach for BHA in patients with a fractured femoral neck.
This retrospective study included adult inpatients from single hospital who underwent BHA with the CPP approach. Paired t test was used to compare the Health Service System scores before surgery and 1 year after surgery.
No dislocation was found during the follow-up period. No serious postoperative complications occurred.
The CPP approach can significantly reduce postoperative dislocation after BHA in femoral neck fracture patients.
This study provided evidence for how to reduce the dislocation rate after hip replacement surgery and emphasized the importance of the soft tissue integrity around the hip joint.