Hemiarthroplasty - Techniques to Avoid Complications
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Hardinge Approach
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The direct lateral (Hardinge) approach has been cited to have the lowest associated dislocation rate. The metanalysis by Masonis and Bourne found a dislocation rate for 14 studies involving 13000 total hips was 1.27% for the transtrochanteric approach, 3.23% for the posterior approach (3.95% without posterior repair and 2.03% with posterior repair), 2.18% for the anterolateral approach, and 0.55% for the direct lateral approach. Eight studies involving 2455 primary total hip arthroplasties evalu
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