Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training
Abstract Background Variable results have been reported regarding the clinical outcomes in Total hip arthroplasty (THA) based on the surgical approach. The aim of this study is to compare the clinical outcomes between Direct anterior (DA) and direct lateral (DL) approaches in THA when performed imme...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Online Access: | https://doi.org/10.1186/s13018-023-03716-6 |
| _version_ | 1797864100097687552 |
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| author | Asim M. Makhdom William J. Hozack |
| author_facet | Asim M. Makhdom William J. Hozack |
| author_sort | Asim M. Makhdom |
| collection | DOAJ |
| description | Abstract Background Variable results have been reported regarding the clinical outcomes in Total hip arthroplasty (THA) based on the surgical approach. The aim of this study is to compare the clinical outcomes between Direct anterior (DA) and direct lateral (DL) approaches in THA when performed immediately after fellowship training. Methods During the 1st year of practice, all consecutive patients who underwent THA via DA and DL hip approaches were retrospectively investigated. Patients’demographics, diagnosis, American society of Anesthesiology (ASA) score, route of anesthesia, length of hospital stay (LOS), leg length discrepancy (LLD), radiographic parameters, operative time, number of opioids refills postoperatively, and complications were collected and compared between the two groups. The short form of Hip Disability and Osteoarthritis Outcome score, Joint Replacement (HOOS, JR) was prospectively collected pre and postoperatively. The minimum follow-up period was 2 years. Results Forty patients in DA group and 38 patients in DL group were included. No statistically significant difference was found between the two groups in terms of demographics, diagnosis, ASA scores, route of anesthesia at the time of THA, postoperative radiographic parameters, LOS, LLD, opioid refills and HOOS scores (p > 0.05). Patients in the DA group had shorter operative time (83 ± 17 min) when compared to the DL group (93 ± 24 min) (p = 0.03). No major complications were found except for one early deep infection patient in DL group. Conclusion Both DA and DL approaches resulted in satisfactory outcomes in THA when performed by a fellowship trained surgeon. |
| first_indexed | 2024-04-09T22:46:07Z |
| format | Article |
| id | doaj.art-9ce78b318c2e47b1b96a206a43052d7a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-09T22:46:07Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-9ce78b318c2e47b1b96a206a43052d7a2023-03-22T11:51:38ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-03-011811610.1186/s13018-023-03716-6Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship trainingAsim M. Makhdom0William J. Hozack1Department of Orthopaedic Surgery, King Abdulaziz UniversityAdult Reconstruction, Rothman Institute, Thomas Jefferson UniversityAbstract Background Variable results have been reported regarding the clinical outcomes in Total hip arthroplasty (THA) based on the surgical approach. The aim of this study is to compare the clinical outcomes between Direct anterior (DA) and direct lateral (DL) approaches in THA when performed immediately after fellowship training. Methods During the 1st year of practice, all consecutive patients who underwent THA via DA and DL hip approaches were retrospectively investigated. Patients’demographics, diagnosis, American society of Anesthesiology (ASA) score, route of anesthesia, length of hospital stay (LOS), leg length discrepancy (LLD), radiographic parameters, operative time, number of opioids refills postoperatively, and complications were collected and compared between the two groups. The short form of Hip Disability and Osteoarthritis Outcome score, Joint Replacement (HOOS, JR) was prospectively collected pre and postoperatively. The minimum follow-up period was 2 years. Results Forty patients in DA group and 38 patients in DL group were included. No statistically significant difference was found between the two groups in terms of demographics, diagnosis, ASA scores, route of anesthesia at the time of THA, postoperative radiographic parameters, LOS, LLD, opioid refills and HOOS scores (p > 0.05). Patients in the DA group had shorter operative time (83 ± 17 min) when compared to the DL group (93 ± 24 min) (p = 0.03). No major complications were found except for one early deep infection patient in DL group. Conclusion Both DA and DL approaches resulted in satisfactory outcomes in THA when performed by a fellowship trained surgeon.https://doi.org/10.1186/s13018-023-03716-6 |
| spellingShingle | Asim M. Makhdom William J. Hozack Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training Journal of Orthopaedic Surgery and Research |
| title | Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training |
| title_full | Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training |
| title_fullStr | Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training |
| title_full_unstemmed | Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training |
| title_short | Direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training |
| title_sort | direct anterior versus direct lateral hip approach in total hip arthroplasty with the same perioperative protocols one year post fellowship training |
| url | https://doi.org/10.1186/s13018-023-03716-6 |
| work_keys_str_mv | AT asimmmakhdom directanteriorversusdirectlateralhipapproachintotalhiparthroplastywiththesameperioperativeprotocolsoneyearpostfellowshiptraining AT williamjhozack directanteriorversusdirectlateralhipapproachintotalhiparthroplastywiththesameperioperativeprotocolsoneyearpostfellowshiptraining |