No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty.
| Autor: | Douven DPM; Department of Research and Innovation, Bergman Clinics, Naarden, the Netherlands., van Kampen PM; Department of Research and Innovation, Bergman Clinics, Naarden, the Netherlands., Werner PH; Department of Orthopaedic Surgery, Bergman Clinics, Breda, the Netherlands., Schrier JC; Department of Orthopaedic Surgery, Bergman Clinics, Breda, the Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2024 Nov; Vol. 34 (6), pp. 733-740. Date of Electronic Publication: 2024 Aug 11. |
| DOI: | 10.1177/11207000241269285 |
| Abstrakt: | Background: Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes. Methods: Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up. Results: There is no significant difference (p < 0.05) between the DAA and PA on primary outcome (OHS). There was a main effect of time which indicated an increase of OHS over time independent of group (p < 0.01). Conclusions: In the current study, no significant differences in postoperative functional outcome were found between DAA and PA in all follow-up moments. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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