Transtrochanteric approach can provide better postoperative care and lower complication rate in the treatment of hip fractures.


Gursoy S., Simsek M. E. , Akkaya M. , Dogan M. , Bozkurt M.

Clinical interventions in aging, vol.14, pp.137-143, 2019 (Journal Indexed in SCI Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 14
  • Publication Date: 2019
  • Doi Number: 10.2147/cia.s194880
  • Title of Journal : Clinical interventions in aging
  • Page Numbers: pp.137-143

Abstract

Purpose: Dislocation is an important complication that increases the mortality, morbidity, and postoperative care following bipolar hemiarthroplasty. It is thought that the transtrochanteric approach that enables access to the femoral neck directly from the fracture line at the coronal plane of the greater trochanter without opening the posterior and anterior capsules could reduce the risk of dislocation. Additionally, it is argued that preservation of the external rotators could also be advantageous for patient rehabilitation and muscle strength. The aim of this study is to compare the effectiveness of the standard posterolateral approach and transtrochanteric approach performed from the fracture line, primarily the rate of dislocation, in osteoporotic Evans Type IV-V unstable intertrochanteric fractures on which bipolar hemiarthroplasty was performed.