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Direct lateral approach

Direct lateral approach has been studied in 3 papers since 2019: 2 trials and 1 observational study in people. The newest paper, Apr 10, 2025: “Functional outcomes and complication rates of the SPAIRE approach compared to the direct lateral approach in hemiarthroplasty for displaced femoral neck fractures”.

Exposure

3 papers study it1 findingUpdated

See all 3 papers on direct lateral approach

At a glance

The findings reach people, from one lab or study. 1 lab in 1 country.

“A total of 11 patients in the direct lateral group had a positive Trendelenburg test at one year compared with one patient in the anterolateral group (11/55 (20%) vs 1/55 (1.8%), relative risk (RR) 11.1; p = 0.004).”
High risk of positive Trendelenburg test after using the direct lateral approach to the hip compared with the anterolateral approach: a single-centre, randomized trial in patients with femoral neck fractureThe bone & joint journal2019doi:10.1302/0301-620x.101b7.bjj-2019-0035.r1
Humans: a single group. Cells, worms or flies and mice: nothing yet.

C, W, M, H: cells, worms or flies, mice, humans. Dark: independent labs found the same change there. Light: one lab or one study. Outline: nothing yet.

  • 1 lab in 1 country
  • Funder: Southern and Eastern Norway Regional Health Authority
  • Human trial2
  • Humans1

What did studies of direct lateral approach find?

1

Studies of direct lateral approach measured one outcome, positive Trendelenburg test.

Positive Trendelenburg test

upin humans1RR 11.1

1 study

  1. Direct lateral approach increases positive Trendelenburg test in humans (compared with anterolateral approach; hemiarthroplasty for femoral neck fracture) (11/55 (20%) vs 1/55 (1.8%), RR 11.1; p = 0.004).

    “A total of 11 patients in the direct lateral group had a positive Trendelenburg test at one year compared with one patient in the anterolateral group (11/55 (20%) vs 1/55 (1.8%), relative risk (RR) 11.1; p = 0.004).”

    Human trialcompared with anterolateral approach; hemiarthroplasty for femoral neck fracturehipone year follow-up

    High risk of positive Trendelenburg test after using the direct lateral approach to the hip compared with the anterolateral approach: a single-centre, randomized trial in patients with femoral neck fracture

    The bone & joint journal

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