15.9Review protocol – surgical approach

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.

Anterolateral approach


Posterior approach


Mortality (30 days, 3 months, 1 year)

Length of hospital stay

Reoperation rate


Functional status

Quality of life


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.

Apart from any fair dealing for the purposes of research or private study, criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

The rights of the National Clinical Guideline Centre to be identified as Author of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act, 1988.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.