15.9Review protocol – surgical approach

ComponentDescription
Review questionIn patients having surgical treatment for intracapsular hip fracture with hemiarthroplasty what is the clinical and cost effectiveness of anterolateral compared to posterior surgical approach on mortality, number of reoperations, dislocation, functional status, length of hospital stay, quality of life and pain?
ObjectivesTo investigate whether one surgical approach is better than the other when inserting a hemiarthroplasty.
PopulationPatients >18 years old with a hip fracture undergoing replacement arthroplasty with a hemiarthroplasty

People with fractures caused by specific pathologies other than osteoporosis or osteopaenia, and patients under 18 years old are excluded from the scope.
Intervention

Anterolateral approach

Comparison

Posterior approach

Outcomes

Mortality (30 days, 3 months, 1 year)

Length of hospital stay

Reoperation rate

Dislocations

Functional status

Quality of life

Pain

Search strategyThe databases to be searched are Medline, Embase, The Cochrane Library and CINAHL.

Randomised controlled trials (RCTs) and well conducted cohort studies and observational studies that adjust for confounders will be considered.

Studies will be restricted to English language only

No date restriction will be applied. Databases will be searched from their date of origin
The review strategyMeta-analyses will be conducted where possible.

If there is heterogeneity the following subgroups will be analysed separately:

Type of procedure

From: Appendix C, Review protocols

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

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