Effect of surgical approach on the early outcome of total hip replacement for femoral neck fractures

Published online: Dec 27 2013

Ahmed M. MOHAMED, Daoud MAKKI, James GIBBS

From the Royal Sussex County Hospital, Brighton, U.K.


We reviewed the short-term outcome of 171 patients treated with total hip replacement for femoral neck fractures using the lateral (94 patients) or posterior approach (77 patients). The Sernbo score and the Abbreviated Mental Test Score were used to assess patients' pre-injury functional and cognitive status respectively. Patients were uniformly treated with regardto the type of prosthesis, size of femoral head and rehabilitation. They were followed up to a mean of 25 months (range : 13-42 months). The dislocation rate in the lateral group was 2.1% versus 0% in the posterior group. There was no differencewith regards to leg length discrepancy and the restoration of medial offset. Our results were attributedthe standardised patients' selection and adequatesoft tissue repair.