Purpose: To report the midterm outcome of displaced neck of femur fractures in the independent adults in the age range 50-65 years, managed with total hip arthroplasty through a lateral approach. Methods: Between 1998 and 2008, a surgeon performed a cemented hip replacement using a modified lateral approach in 50 consecutive patients with garden type III or IV fracture neck of femur. Their clinical records were reviewed with respect to outcomes, with particular reference to complications.

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... ndent review of functional outcome was completed at one year post surgery and final assessment at 10 years post op. Results: At an average follow-up of 9.8 years (range, 3-10 years), two patients needed further surgery. All other medical complications were successfully treated. The overall prevalence of early medical complications was 43%. There was one dislocation, and 80% of patients had a good clinical outcome at their last follow-up. Conclusion: The modified lateral approach of Hardinge᾿s minimises the incidence of postoperative dislocation. However, there was a high incidence of medical complications and aggressive treatment of such complications was necessary, both preoperatively and postoperatively. The number of pre-existing medical conditions was a significant factor influencing patient morbidity.