Arthroplasty for Femoral Neck Fractures: Why I Use the Posterior Approach

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Traditionally, the posterior approach has been favored for its ease in execution, shorter operative time, decreased blood loss, and superior visualization. It is often the exposure of choice for revision surgery for these same reasons, in addition to its extensile properties. Despite a historically increased rate of dislocation, attention to soft tissue repair and implant innovations, such as larger prosthetic head balls, have drastically decreased the posterior dislocations that have plagued this approach. Ultimately, surgeon training, experience, implant choices and comfort level will determine the best approach to be used for arthroplasty in the setting of femoral neck fractures.

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