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In the DCP group, 17 patients were operated using the anterolateral approach and remaining 8 patients with the posterior approach.
Using the anterolateral approach for the C1 C2 joint injection, Halim et al. [15] also believed it would reduce the incidence of C2 nerve root injury, epidural injection, and vertebral artery puncture.
A higher dislocation rate (8%) was reported by Baker et al. (2006) in an RCT comparing IF with THR, also using the anterolateral approach.
During 2007, 77% of the hips were operated on with the posterolateral approach and in 2008, 78% of the hips were operated on using the anterolateral approach.
4 surgeons had had previous experience of using the anterolateral approach before the start of the study, and they assisted the less experienced surgeons if required.
The dislocation rate of 2% after the anterolateral approach in this study is similar to that reported for THR using the anterolateral approach in two randomized controlled trials (RCTs) from our institution.
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We have therefore started to use the anterolateral approach on these patients and we now report the consequences of this change for the dislocation rate.
From 2008, a policy change was implemented regarding surgical approach and it was recommended that all surgeons should use the anterolateral approach when performing hip arthroplasty on patients with a femoral neck fracture.
There were no differences regarding age and sex comparing patients who were operated using the anterolateral or the posterolateral approach.
Use of the anterolateral approach increased from 47%to56%6%.
We did not formalize the training of the surgeons for use of the anterolateral approach.
More suggestions(15)
using the wrong approach
using the new approach
using the agile approach
using the recommended approach
using the similar approach
using the retroviral approach
using the current approach
using the lateral approach
using the anterolateral drill
using the binary approach
using the discrete approach
using the northern approach
using the integral approach
using the bagging approach
using the same approach
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