Lower Dislocation Rate Following Total Hip Arthroplasty via Direct Anterior Approach than via Posterior Approach: Five-Year-Average Follow-Up Results
نویسندگان
چکیده
OBJECTIVE The aim of the study was to compare the dislocation rate between total hip arthroplasty (THA) via direct anterior approach (DAA) and via posterior approach (PA). METHODS We compared a consecutive series of 139 THAs via DAA with 177 THAs via PA. All study patients received ceramic-on-ceramic bearing surfaces and similar uncemented prostheses. Dislocation-free survival after THA was estimated using the Kaplan-Meier survival method and compared between groups using the log-rank test. RESULTS In the DAA group, none of 139 hips experienced dislocations in five-year-average follow-up. In the PA group, seven hips experienced dislocations among 177 hips (4 %). The dislocation was significantly less in the DAA group compared to the PA group (p = 0.033). CONCLUSION The dislocation rate of THA via DAA was significantly less than that of THA via PA.
منابع مشابه
The impact of posterior approach for total hip arthroplasty on early complications.
The optimal approach for total hip arthroplasty is hotly debated. We analysed 121 consecutive patients who underwent primary total hip arthroplasty during the first three years of practice of a newly appointed consultant. Patients were analysed for pain scores (1-6), function scores (1-6) and satisfaction levels (1-5). All complications, during and after surgery, were noted with special emphasi...
متن کاملTissue-Preserving, Minimally Invasive Total Hip Arthroplasty Using a Superior Capsulotomy
Conventional total hip arthroplasty in its many forms has been well established as a reliable procedure with predictable recovery. The high volume of procedures has allowed the incidences of the most common post-operative complications to be determined. Early complications vary widely by surgical approach and method of fixation, but generally include infection, dislocation, abductor morbidity, ...
متن کاملDirect anterior approach for total hip arthroplasty with a novel mobile traction table -a prospective cohort study
BACKGROUND The purpose of this prospective cohort study was to clarify the safety and efficacy of total hip arthroplasty via the direct anterior approach in the supine position with a novel mobile traction table. METHODS The first experience of consecutive surgeries by a single surgeon using the direct anterior approach with a traction table is described with a two-year follow-up period. Of 1...
متن کاملTotal hip arthroplasty via the direct anterior approach with a dual mobility cup for displaced femoral neck fracture in patients with a high risk of dislocation
INTRODUCTION Although total hip arthroplasty (THA) is superior to bipolar hemiarthroplasty (BHA) for displaced femoral neck fracture in terms of hip pain, function and reoperation rate, THA has a higher rate of dislocation. The direct anterior approach (DAA) and a dual mobility cup (DMC) are associated with lower rates of dislocation. The aim of this study was to investigate the outcomes of THA...
متن کاملDirect anterior total hip arthroplasty.
The direct anterior approach to hip arthroplasty has become a popular technique. This technique, which was described almost 70 years ago, allows the surgeon to approach the hip through an internervous and intermuscular plane. Preliminary studies show that direct anterior hip arthroplasty may allow patients to recover faster with a lower dislocation rate. It is helpful to understand the history,...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 9 شماره
صفحات -
تاریخ انتشار 2015