Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture

Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture

There are two surgical approaches (incision types) used by surgeons who do total hip replacements. The purpose of this study is to determine which type of surgical approach (incision type) produces the best results for patients who have a total hip replacement.

Null Hypothesis : There is no difference in complication rate, functional outcome, surgical time, or blood loss when comparing outcomes in patients receiving THA to hemiarthroplasty or ORIF for femoral neck fractures.

Patients undergoing Total hip Arthroplasty following displaced femoral neck fracture, will be consented and randomized to one of two surgical approaches ( anterior or posterior).

Inclusion Criteria:

• Displaced femoral neck fracture
• Age 65 years or older
• Acute, femoral neck fracture

Exclusion Criteria:

Cognitive impairment

• Active Infection
• Limited functional capacity (nursing home resident, non-ambulatory, severe cardiorespiratory disease)
• Limited life expectancy
• Pathologic fracture (tumor)
• Acetabular fractures