Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position
Purpose: Soft-tissue tension is an important factor for preventing dislocations after total hip arthroplasty. The purpose of this study was to evaluate the effects of anterior capsule repair for preventing dislocation during primary total hip arthroplasty using the anterolateral approach in the supi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Joint Surgery and Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705123000233 |
| _version_ | 1797235448159928320 |
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| author | Sei Yano Shigeo Hagiwara Satoshi Iida Junichi Nakamura Yuya Kawarai Seiji Ohtori |
| author_facet | Sei Yano Shigeo Hagiwara Satoshi Iida Junichi Nakamura Yuya Kawarai Seiji Ohtori |
| author_sort | Sei Yano |
| collection | DOAJ |
| description | Purpose: Soft-tissue tension is an important factor for preventing dislocations after total hip arthroplasty. The purpose of this study was to evaluate the effects of anterior capsule repair for preventing dislocation during primary total hip arthroplasty using the anterolateral approach in the supine position (ALS). Methods: This study retrospectively compared the clinical and radiographic outcomes between patients who underwent total hip arthroplasty via the ALS with or without anterior capsule repair at our institute. The cup (radiographic inclination and radiographic anteversion) and stem alignment, operative time, clinical score, and complication were evaluated. Results: Among the 393 hips evaluated, 193 and 200 belonged to the resection and repair groups, respectively. There were significant differences in the inclination and anteversion of the cup and flexion insertion of the stem (42.3° vs. 40.3°, 15.8° vs. 19.8°, and 27.5% vs. 34.0%, respectively). No significant differences in operative time and postoperative Japanese Orthopedic Association hip score were noted. Early dislocation was more common in the resection group compared to the repair group (2 hips vs. 0 hip, respectively), albeit not significantly (1.03% vs. 0%, p = 0.241). Conclusion: Our results demonstrated that the clinical benefit of the anterior capsule repair for preventing dislocation was limited in ALS. |
| first_indexed | 2024-04-24T16:48:07Z |
| format | Article |
| id | doaj.art-1add65ae116d4be5a3976b20dae4116e |
| institution | Directory Open Access Journal |
| issn | 2949-7051 |
| language | English |
| last_indexed | 2024-04-24T16:48:07Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj.art-1add65ae116d4be5a3976b20dae4116e2024-03-29T05:51:50ZengElsevierJournal of Joint Surgery and Research2949-70512023-12-0111163167Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine positionSei Yano0Shigeo Hagiwara1Satoshi Iida2Junichi Nakamura3Yuya Kawarai4Seiji Ohtori5Department of Orthopaedics Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, JapanDepartment of Orthopaedic Surgery, Matsudo City General Hospital, 993-1 Sendabori, Matsudo, Chiba, 270-2252, Japan; Corresponding author. Department of Orthopaedics Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan. Tel.: +81 43 226 2117.Department of Orthopaedic Surgery, Matsudo City General Hospital, 993-1 Sendabori, Matsudo, Chiba, 270-2252, JapanDepartment of Orthopaedics Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, JapanDepartment of Orthopaedics Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, JapanDepartment of Orthopaedics Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, JapanPurpose: Soft-tissue tension is an important factor for preventing dislocations after total hip arthroplasty. The purpose of this study was to evaluate the effects of anterior capsule repair for preventing dislocation during primary total hip arthroplasty using the anterolateral approach in the supine position (ALS). Methods: This study retrospectively compared the clinical and radiographic outcomes between patients who underwent total hip arthroplasty via the ALS with or without anterior capsule repair at our institute. The cup (radiographic inclination and radiographic anteversion) and stem alignment, operative time, clinical score, and complication were evaluated. Results: Among the 393 hips evaluated, 193 and 200 belonged to the resection and repair groups, respectively. There were significant differences in the inclination and anteversion of the cup and flexion insertion of the stem (42.3° vs. 40.3°, 15.8° vs. 19.8°, and 27.5% vs. 34.0%, respectively). No significant differences in operative time and postoperative Japanese Orthopedic Association hip score were noted. Early dislocation was more common in the resection group compared to the repair group (2 hips vs. 0 hip, respectively), albeit not significantly (1.03% vs. 0%, p = 0.241). Conclusion: Our results demonstrated that the clinical benefit of the anterior capsule repair for preventing dislocation was limited in ALS.http://www.sciencedirect.com/science/article/pii/S2949705123000233Total hip arthroplastyAnterolateral approachAnterior capsule repairDislocation |
| spellingShingle | Sei Yano Shigeo Hagiwara Satoshi Iida Junichi Nakamura Yuya Kawarai Seiji Ohtori Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position Journal of Joint Surgery and Research Total hip arthroplasty Anterolateral approach Anterior capsule repair Dislocation |
| title | Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position |
| title_full | Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position |
| title_fullStr | Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position |
| title_full_unstemmed | Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position |
| title_short | Effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position |
| title_sort | effects of anterior capsule repair during total hip arthroplasty using the anterolateral approach in the supine position |
| topic | Total hip arthroplasty Anterolateral approach Anterior capsule repair Dislocation |
| url | http://www.sciencedirect.com/science/article/pii/S2949705123000233 |
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