Total hip arthroplasty with a superior approach and in situ preparation of the femoral stem: technique and feasibility in a prospective series of 80 cases
| Autor: | Wouter Sioen, Tom Lattré, Steven Parmentier, Kurt Claeys |
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| Rok vydání: | 2022 |
| Předmět: |
Science & Technology
hip DISABILITY Arthroplasty Replacement Hip approach Acetabulum General Medicine PIRIFORMIS replacement superior ANATOMY DIRECT ANTERIOR APPROACH Orthopedics arthroplasty Feasibility Studies Humans Orthopedics and Sports Medicine Surgery Hip Prosthesis Prospective Studies ARTHRITIS OSTEOARTHRITIS OUTCOME SCORE Life Sciences & Biomedicine Retrospective Studies |
| Zdroj: | Acta orthopaedica Belgica. 88(1) |
| ISSN: | 0001-6462 |
| Popis: | We report on the feasibility of a technique for total hip replacement with in situ preparation of the femoral stem through a superior approach and with the use of standard instruments. From December 2017 to august 2018, 100 patients were recruited for total hip replacement. 80 patients underwent THA through a superior approach with femoral broaching before femoral neck cut. We evaluated feasibility, complications and early functional outcome. There were no major complications. Postoperative leg length discrepancy was on average +0.6mm and offset -0.5mm. The mean acetabular cup inclination was 42.0° and the mean anteversion was 14.5°. The mean WOMAC score was 46 before, 76 at 1 month and 86 at 3 months after surgery. Functional scores (OARSI) were significantly improved at 3 months. Superior in situ total hip replacement is a reliable and reproducible technique with an excellent clinical outcome. It is an iteration to the posterior approach, hence the learning curve is steep and if needed, conversion to a standard posterior approach is possible. ispartof: ACTA ORTHOPAEDICA BELGICA vol:88 issue:1 pages:35-42 ispartof: location:Belgium status: published |
| Databáze: | OpenAIRE |
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