The minimally invasive total hip replacement via the direct anterior approach: A short term clinical and radiological results

Autor: Helmy Fekry Refai, Mohamed Samir Kassem
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Alexandria Journal of Medicine, Vol 50, Iss 1, Pp 31-36 (2014)
Druh dokumentu: article
ISSN: 2090-5068
DOI: 10.1016/j.ajme.2013.09.004
Popis: Introduction: There has been a recent interest in the minimally invasive approaches for hip replacements. The direct anterior approach is characterised by being a muscle preserving approach which should make it an ideal minimally invasive approach. Aim: The purpose of this study was to assess the short term results and the complications of primary total hip replacements done through this approach. Methods: This study included twenty uncemented primary hip replacements done in eighteen patients. The average age at the time of surgery was 71.5 years and the average body mass index was 22.5. The period of follow up ranged from 26 to 43 months. Results: The length of hospital stay ranged from 3 days up to 19 days with a median of 5 days. Trendelenberg test was negative in 18 cases (90%). The Oxford hip score improved from a median of 16.5 preoperatively to a median of 40.5 postoperatively which was statistically significant (p
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