Transtrochanteric vs. posterolateral approaches in hemiarthroplasty after proximal femoral nail complications: A comparative study

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dc.contributor.authorGokalp, Oguzhan
dc.contributor.authorAri, Bunyamin
dc.date.accessioned2026-06-19T06:38:10Z
dc.date.available2026-06-19T06:38:10Z
dc.date.issued2025
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBACKGROUND: Proximal femoral nailing is a widely used technique for treating intertrochanteric femur fractures but may result in complications requiring revision surgery. Hemiarthroplasty is a common solution, with the transtrochanteric and posterolateral approaches being two surgical options. This study aimed to compare these approaches in terms of surgical outcomes and complication rates. METHODS: A retrospective analysis was conducted on 79 patients who underwent revision hemiarthroplasty for complications related to proximal femoral nailing between 2019 and 2022. Patients were divided into two groups based on the surgical approach: transtrochanteric (Group 1, n=36) and posterolateral (Group 2, n=43). Key variables included surgical time, intraoperative blood loss, transfusion requirements, functional outcomes (Harris Hip Score), and complication rates. Statistical significance was set at p<0.05. RESULTS: Group 1 had a shorter surgical time (49.6 +/- 5.69 vs. 64.8 +/- 10.29 minutes; p<0.001) and lower intraoperative blood loss (395.8 +/- 142.89 vs. 474.2 +/- 130.94 mL; p=0.004) compared to Group 2. Transfusion requirements were also lower in Group 1 (0.4 +/- 0.71 vs. 1.2 +/- 1.014 units; p=0.002). Harris Hip Scores were similar between groups (74.7 +/- 7.17 vs. 72.4 +/- 7.8; p=0.276). Although overall complication rates did not differ significantly (p=0.744), dislocations occurred only in Group 2 (6.5%, n=2). CONCLUSION: The findings suggest that the transtrochanteric approach may offer advantages in surgical efficiency and reduced intraoperative challenges. However, both techniques yielded similar functional outcomes and overall complication rates. Further studies are necessary to validate these findings and assess their applicability in varied clinical contexts.
dc.identifier.doi10.14744/tjtes.2025.36607
dc.identifier.endpage464
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue5
dc.identifier.orcid0000-0003-4062-8559
dc.identifier.orcid0000-0001-7638-7932
dc.identifier.pmid40336394
dc.identifier.scopus2-s2.0-105004782001
dc.identifier.scopusqualityQ2
dc.identifier.startpage458
dc.identifier.trdizinid1354665
dc.identifier.urihttps://doi.org/10.14744/tjtes.2025.36607
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1354665
dc.identifier.urihttps://hdl.handle.net/20.500.12899/5427
dc.identifier.volume31
dc.identifier.wosWOS:001504651300008
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260612
dc.subjectIntertrochanteric Fractures
dc.subjectProximal Femoral Nail Complications
dc.subjectHemiarthroplasty
dc.subjectTranstrochanteric Approach
dc.subjectPosterolateral Approach
dc.titleTranstrochanteric vs. posterolateral approaches in hemiarthroplasty after proximal femoral nail complications: A comparative study
dc.typeArticle

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