Direct Anterior Approach in Lateral Decubitus Position Versus Supine Position for Unilateral Total Hip Arthroplasty: A Comparative Study
| Autor: | Jiaping Lan, Guanjun Sun, Wenbo Zhao, Zhiqiang Wang, Xu Peng, Yongjie Ye, Yi Yin, Shanwu Li |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Supine position Visual analogue scale medicine.medical_treatment Arthroplasty Replacement Hip Replacement Operative Time Blood Loss Surgical Lateral decubitus position Patient Positioning Arthroplasty 03 medical and health sciences 0302 clinical medicine Postoperative Complications Surveys and Questionnaires Lateral Decubitus Position medicine Humans Orthopedics and Sports Medicine Aged Pain Measurement Retrospective Studies Orthopedic surgery Aged 80 and over 030222 orthopedics Clinical Article Hip business.industry Postoperative complication Retrospective cohort study Femoral fracture Middle Aged medicine.disease Surgery Clinical Articles Female business Body mass index 030217 neurology & neurosurgery RD701-811 |
| Zdroj: | Orthopaedic Surgery Orthopaedic Surgery, Vol 13, Iss 3, Pp 786-790 (2021) |
| ISSN: | 1757-7861 1757-7853 |
| Popis: | Objective To compare the clinical efficacy of the direct anterior approach in lateral decubitus position (L‐DAA) and supine position (S‐DAA) for unilateral total hip arthroplasty. Methods A retrospective study was conducted on 89 patients who underwent primary unilateral total hip arthroplasty in our department between August 2016 and December 2017. There were 46 patients who underwent L‐DAA and 43 patients who underwent S‐DAA. The body mass index (BMI), operation time, blood loss, preoperative Hb, first day and third day postoperative Hb, incision length, hospital stay, preoperative and postoperative Harris score, preoperative and postoperative visual analogue scale (VAS) score, radiological evaluation, intraoperative and postoperative complication, postoperative absolute length difference of lower extremity were recorded and analyzed. P 0.05). However, significant differences were detected in BMI, blood loss, first day and third day postoperative Hb, and operation time (P Lateral decubitus position: A. Surgical position; B. hemostasis of the extrafemoral artery achieved; C. Grinding the acetabulum; D. Position of operation in femur and acetabulum; E. Reaming the femur and acetabulum; F. Length of incision. Supine position: G. Surgical position; H. Skin preparation and draping; I. Position of operation in femoral; J & K. Muscle protection retractors. |
| Databáze: | OpenAIRE |
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