Trivellin GiacomoUniversity of Trieste, Italy
Title: Hip partial replacement throung anterior direct approach in the treatment of femoral neck fractures
Femoral neck fractures are common injuries among elderly population and rappresent a significant cause of morbility and mortality. Hemiarthroplasty is most frequent choice for elderly patients with different comorbidities and reduced functional demands. The direct anterior approach is belived to accelerate functional recovery by limiting iatrogenic muscle damage.
84 patients were treated from January 2019 to September 2020 for femoral neck fracture and operated by partial hip replacement throug direct anterior approach.
Were compared two groups , the first one was operated by expert hip surgeons and the second one was operated by young surgeons. Were evaluated for every patient the operating time, the variation between pre-operative and post-operative hemoglobin value, the during of hospitalization, the blood transfusion rate, the early walking of patients and the eventual presence of per-operative complications.
In our two groups, young and senior, there is a difference of operating time, in front of not significant differences in other resukts.
The immediate outcomes are positives, all patients started physioterapy the day after surgery with a complete weight bearing.
We demonstrated that the approach is repeatable even in young surgeons. For this reasons AMIS can be preferred to other approaches also in neck fractures, for hemiarthroplasty and not only by experts hip surgeons.
Surgeon specialist in Orthopedics and Traumatology.
Dr. Trivellin graduated from the University of Trieste on 26/10/2010 with a score of 106/110 and obtained the Specialization in Orthopedics and Traumatology at the University of Verona with a score of 50 / 50 cum laude on 07/06/2016. Since 07/07/2016 he has been 1st manager at the Pederzoli Hospital in Peschiera del Garda.
He mainly deals with hip pathologies and traumatology. He has participated as a speaker at various national and international conferences, has several publications in international scientific journals to his credit. He followed professional training experiences in Tour (France) and through the international society of traumatology AO.
He was part of the medical team of AC Chievo Verona and SSC Hawaiki Roncà of youth cycling.