A modified posterior approach for Moore arthroplasty of the hip - a preliminary report

Prosthetic replacement for displaced femoral neck fracture in the elderly is commonly done through a posterior ("southern') approach. Although this is a good approach post-operative wound infection and dislocation may occur. Such problems have led the authors to modify this surgical approach through the upper part of the quadratus femoris, and the lower part of the hip capsule. Preliminary results in the early post-operative period in ten patients have been encouraging and if done with care it appears to minimise the risk of post-operative infection and dislocation.