Direct superior approach for total hip arthroplasty
| Autor: | Nicholas E Ohly, Hollie Leonard |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_specialty Arthroplasty Replacement Hip Operative Time 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures 030212 general & internal medicine Aged Pain Measurement Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Outcome measures Length of Stay Middle Aged Surgery Hip arthroplasty Patient Satisfaction Radiological weapon Female business Posterolateral approach Total hip arthroplasty |
| Zdroj: | The Bone & Joint Journal. :500-506 |
| ISSN: | 2049-4408 2049-4394 |
| DOI: | 10.1302/0301-620x.103b3.bjj-2020-0916.r1 |
| Popis: | Aims The purpose of this study was to compare the clinical, radiological, and patient-reported outcome measures (PROMs) in the first 100 consecutive patients undergoing total hip arthroplasty (THA) via a direct superior approach (DSA) with a matched group of patients undergoing THA by the same surgeon, using a posterolateral approach (PLA). Methods This was a retrospective single surgeon study comparing the first 100 consecutive DSA THA patients with a matched group of patients using a standard PLA. Case notes were examined for patient demographics, length of hospital stay, operating time, intra- and postoperative complications, pain score, satisfaction score, and Oxford Hip Score (OHS). Leg length discrepancy and component positioning were measured from postoperative plain radiographs. Results The DSA patients had a shorter length of hospital stay (mean 2.09 days (SD 1.20) DSA vs 2.74 days (SD 1.17) PLA; p < 0.001) and shorter time to discharge from the inpatient physiotherapy teams (mean 1.44 days (SD 1.17) DSA vs 1.93 days (SD 0.96) PLA; p < 0.001). There were no differences in operating time (p = 0.505), pain levels up to postoperative day 1 (p = 0.106 to p =0.242), OHS (p = 0.594 to p = 0.815), satisfaction levels (p = 0.066 to p = 0.299), stem alignment (p = 0.240), acetabular component inclination (p < 0.001) and anteversion (p < 0.001), or leg length discrepancy (p = 0.134). Conclusion While the DSA appears safe and was not associated with a significant difference in PROMs, radiological findings, or intraoperative or postoperative complications, a randomized controlled trial with functional outcomes in the postoperative phase is needed to evaluate this surgical approach formally. Cite this article: Bone Joint J 2021;103-B(3):500–506. |
| Databáze: | OpenAIRE |
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