Acetabular Exposure Is Enhanced With Self-Retaining Retractors During Direct Anterior Total Hip Arthroplasty
| Autor: | Jaclyn M. Kapilow, John L. Masonis, Paul C. Peters, Lucas A. Anderson, Brian P. Gladnick |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
Male 030222 orthopedics medicine.medical_specialty business.industry Arthroplasty Replacement Hip Polyethylene liner Dentistry Acetabulum Middle Aged equipment and supplies 03 medical and health sciences surgical procedures operative 0302 clinical medicine Polyethylene Orthopedic surgery Medicine Humans Orthopedics and Sports Medicine Surgery 030212 general & internal medicine Hip Prosthesis business Total hip arthroplasty Aged |
| Zdroj: | Orthopedics. 44(2) |
| ISSN: | 1938-2367 |
| Popis: | Acetabular exposure for direct anterior (DA) total hip arthroplasty (THA) can be performed using hands-free, self-retaining retractors. No current study quantitatively compares this self-retaining technique with the traditional manual technique. In 65 consecutive DA THA hips, two “best-view” digital photographs were taken of the exposure—one using Charnley/self-retaining retractors and one using a traditional three-retractor manual technique. Percent exposure of the polyethylene liner was calculated. Percent acetabular exposure averaged 80.0% using the Charnley/self-retaining technique, compared with 73.1% using the manual technique ( P =.0002). A hands-free technique provides superior acetabular exposure compared with the manual technique. Increasing body mass index predicts decreasing exposure with both techniques. [ Orthopedics . 2021;44(2):e309–e313.] |
| Databáze: | OpenAIRE |
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