Trivellin GiacomoUniversity of Trieste, Italy
Title: Trivellin Giacomo
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.
Giacomo Trivellin was born in Vicenza, Italy in the 1984. He was graduated in Medicine and Surgery at Trieste University and specialized in Orthopedics and Traumatology at Verona University in 2010. His activity is based most on trauma and hip surgery. He is author of several publication on international papers and participate like relator in several international congress.