Femoral neck fractures are common injuries among elderly population and rappresent a significant cause of morbility and mortality. Hemi Arthroplasty is most frequent choice for elderly patients with different co morbidities and reduced functional demands. The direct anterior approach is believed to accelerate functional recovery by limiting iatrogenic muscle damage. 84 patients were treated from January 2019 to September 2020 for femoral neck fracture and operated by partial hip replacement through direct anterior approach. We recompared two groups, the first one was operated by expert hip surgeons and the second new operated by young surgeons. Were evaluated for every patient the operating time, the variation between pre-operative and post-operative hemoglobin value, the during of hospitalization, the blood transfusion rate, the early walking of patients and the eventual presence of per-operative complications. In our two groups, young and senior, there is a difference of operating time, in front of not significant differences in other results. The immediate outcomes are positives, all patients started physiotherapy the day after surgery with a complete weight bearing. We demonstrated that the approach is repeatable even in young surgeons. For this reasons AMIS can be preferred to other approaches also in neck fractures, for hemi Arthroplasty and not only by expert’s hip surgeons.
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Fonte: iMedPub Journals – Vol. 7 No. 6: 70/2021