Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke·2026
Same author

When blood hits the brain: altered glymphatic and dural lymphatic function after surface bleeds.

Acta neurochirurgica·2026
Same author

Cranial nerves as pathways for human cerebrospinal fluid efflux: In vivo evidence.

Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism·2025
Same author

The Edmonton frail scale: a feasibility study on assessing frailty among older adults with multimorbidity in Norwegian primary health care.

BMC primary care·2025
Same author

[Latent variables].

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke·2025
Same author

Comparative analysis of surgical and endovascular aneurysm repair in subarachnoid hemorrhage: a single-center study with 1,171 patients.

Acta neurochirurgica·2025

Related Experiment Video

Updated: Jul 12, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

SPAIRE Approach Versus Direct Anterior Approach in Hemiarthroplasty for Displaced Femoral Neck Fractures: A

Stein H Ugland1,2, Oystein T Fagerberg1, Terje O Ugland1

  • 1Department of Orthopaedics, Sorlandet Hospital, Kristiansand, Norway.

JB & JS Open Access
|July 10, 2026
PubMed
Summary

The Sparing Piriformis and Obturator Internus, Repair Externus (SPAIRE) approach showed no significant clinical outcome differences compared to the direct anterior (DA) approach for hip hemiarthroplasty in femoral neck fracture patients. SPAIRE may be a viable alternative for surgeons.

More Related Videos

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
05:42

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

Published on: March 3, 2023

Related Experiment Videos

Last Updated: Jul 12, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
05:42

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

Published on: March 3, 2023

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Clinical Trials

Background:

  • Femoral neck fractures (FNF) are commonly treated with hemiarthroplasty (HA) using various surgical approaches.
  • The Sparing Piriformis and Obturator Internus, Repair Externus (SPAIRE) approach is increasingly adopted for HA in FNF.
  • Limited evidence currently supports the efficacy of the SPAIRE approach compared to established methods.

Purpose of the Study:

  • To compare the clinical outcomes of the SPAIRE approach versus the direct anterior (DA) approach for HA in FNF patients.
  • To evaluate functional outcomes and patient-reported measures following HA using either the SPAIRE or DA approach.

Main Methods:

  • A randomized controlled trial (RCT) involving 158 patients with displaced FNF undergoing HA.
  • Patients were randomized to either the SPAIRE (n=79) or DA (n=79) approach and followed for 12 months.
  • Blinded physiotherapists collected functional and patient-reported outcomes postoperatively and at 3 and 12 months.

Main Results:

  • The SPAIRE approach demonstrated a significantly shorter surgical duration (52 min vs. 63 min) compared to the DA approach (p < 0.01).
  • No statistically significant differences were observed in the Harris Hip Score (p=0.365) or patient-reported outcomes between the groups at 12 months.
  • Nine complications requiring reoperation were recorded in 8 patients across both groups.

Conclusions:

  • The SPAIRE and DA approaches yield comparable clinical outcomes for hemiarthroplasty in femoral neck fracture patients.
  • The SPAIRE approach presents a potential alternative for surgeons accustomed to posterior surgical techniques.
  • Larger studies are recommended to further elucidate the clinical implications and long-term benefits of the SPAIRE approach.