Chinese expert consensus on the technical standard of direct anterior hip arthroplasty for elderly femoral neck fracture (version 2023)
- VernacularTitle:老年股骨颈骨折直接前路髋关节置换技术规范专家共识（2023版)
- Author:
Zhonghua XU
1
;
Lun TAO
;
Zaiyang LIU
;
Yang LI
;
Jie LI
;
Jun ZHANG
;
Xia ZHANG
;
Min WANG
;
Changqing LI
;
Guangxing CHEN
;
Liu YANG
;
Dawei ZHANG
;
Xiaorui CAO
;
Guoqiang ZHANG
;
Pingyue LI
;
Nirong BAO
;
Chuan LI
;
Shenghu ZHOU
;
Zhengqi CHANG
;
Bo WU
;
Wenwei QIAN
;
Weiguo WANG
;
Ming LYU
;
Hao TANG
;
Hu LI
;
Chuan HE
;
Yunsu CHEN
;
Huiwu LI
;
Ning HU
;
Mao NIE
;
Feng XIE
;
Zhidong CAO
;
Pengde KANG
;
Yan SI
;
Chen ZHU
;
Weihua XU
;
Xianzhe LIU
;
Xinzhan MAO
;
Jie XIE
;
Xiaogang ZHANG
;
Boyong XU
;
Pei YANG
;
Wei WANG
;
Xiaofeng LI
;
Eryou FENG
;
Zhen ZHANG
;
Baoyi LIU
;
Jianbing MA
;
Hui LI
;
Yuanchen MA
;
Li SUN
;
Zhifeng ZHANG
;
Shuo GENG
;
Guanbao LI
;
Yuji WANG
;
Erhu LI
;
Zongke ZHOU
;
Wei HUANG
;
Yixin ZHOU
;
Li CAO
;
Wei CHAI
;
Yan XIONG
;
Yuan ZHANG
Author Information
- Keywords: Femoral neck fractures; Elderly; Arthroplasty, replacement, hip; Direct anterior approach
- From: Chinese Journal of Trauma 2023;39(11):961-973
- CountryChina
- Language:Chinese
- Abstract: Femoral neck fracture (FNF) in the elderly patients is currently a major health challenge worldwide, with excessive consumption of medical resources, high incidence of complications as well as suboptimal outcome and prognosis. Hip joint arthroplasty (HJA) has been the mainstream treatment for FNF in the elderly, but the conventional surgical approaches and techniques are still confronted with a series of bottlenecks such as dislocation, limp and limb length discrepancy. In recent years, direct anterior approach (DAA) for HJA (DAA-HJA) has been a major new choice in the field of joint replacement, which achieves improved clinical effectiveness of HJA in the treatment of elderly FNF, due to the fact that DAA approach involves the neuromuscular interface and accords with the idea of soft tissue retention and enhanced recovery after surgery. However, there is still a lack of unified understanding of standard technique and procedure of DAA-HJA in the treatment of elderly FNF. Therefore, relevant experts from the Hip Joint Group of Chinese Orthopedics Association of Chinese Medical Association, Youth Arthrology Group of Orthopedic Committee of PLA, Orthopedic Committee of Chongqing Medical Association, Branch of Orthopedic Surgeons of Chongqing Medical Doctor Association and Sport Medicine Committee of Chongqing Medical Association were organized to formulate the " Chinese expert consensus on the technical standard of direct anterior hip arthroplasty for elderly femoral neck fracture ( version 2023)" based on evidence-based medicine. This consensus mainly proposed 13 recommendations covering indications, surgical plans, prosthesis selections, surgical techniques and processes, and postoperative management of DAA-HJA in elderly patients with FNF, aiming to promote standardized, systematic and patient-specific diagnosis and treatment to improve the functional prognosis of the patients.
