Early Experience of Direct Anterior Approach Total Hip Arthroplasty: Analysis of the First 53 Cases
| Autor: | Cheol-Hwan Kim, Young-Yool Chung, Sung-nyun Baek, Seung-Woo Shim, Chung-Young Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry Incidence (epidemiology) Avascular necrosis medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Blood loss Minimal invasive surgery Orthopedic surgery medicine Operative time Orthopedics and Sports Medicine Original Article 030212 general & internal medicine Anterior approach business Learning curve Total hip arthroplasty Femoral neck Hip replacement arthroplasty |
| Zdroj: | Hip & Pelvis |
| ISSN: | 2287-3279 2287-3260 |
| Popis: | Purpose To determine if it is feasible and safe for a surgeon to transition from using the posterolateral approach to direct anterior approach (DAA) by evaluating the first 53 cases of total hip arthroplasty using a DAA. Materials and methods A retrospective review of 52 patients who underwent THA using a DAA between July 2017 and December 2018. Reasons for THA were: femoral neck fracture (n=34), avascular necrosis (n=13), and arthritis (n=6). The mean age was 70 years old. An assessment of feasibility was made by analyzing mean operative time and blood loss. Cup inclination, anteversion, and leg length discrepancy (LLD) were measured using postoperative radiology. Safety of the DAA was judged using the incidence and nature of all complications. Results The mean operative time was 112 minutes. 135 minutes for the 1st 10 cases, 100 minutes for 2nd 10 cases, 113 minutes for 3rd 10 cases, 119 minutes for 4th 10 cases, and 91 minutes for the final 13 cases. The mean blood loss was 724 mL. Average cup inclination was 40.27°; 2 cases were out of safety angle. Mean anteversion was 16.18°. No intraoperative fractures or infections were observed. LLD was detected in 3 cases, one of which underwent revision due to walking difficulty. Dislocation occurred in 3 cases, all within the first 20 cases, however, there was no recurrent dislocation. Conclusion DAA for THA was deemed to be feasible and safe based on an assessment of operative time, blood loss and complications. |
| Databáze: | OpenAIRE |
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