Comparison of efficacy and safety between the anterior and the posterior approaches to total hip arthroplasty / 北京大学学报(医学版)
Journal of Peking University(Health Sciences)
;
(6): 201-205, 2017.
Artigo
em Chinês
| WPRIM
| ID: wpr-512650
ABSTRACT
Objective:
To compare the efficacy and safety between direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty.Methods:
This study evaluated postoperative results of 92 consecutive total hip arthroplasties performed by a single surgeon;44 from the DAA,and 48 from PA.The age,body mass index,operation time,blood loss,hospital stay,positioning of the artificial hip,postoperative Harris score and postoperative complications were recorded and analyzed.Results:
Both the average age of the patients separately (58.0±11.9) years in DAA group and (61.0±10.4) years in PA group and the body mass index (25.1±3.7) in DAA group and (24.7±3.3) in PA group,showed no significant difference between the two groups.The DAA group had significantly reduced the hospital stay (3.8±1.7) days vs.(4.9±2.3) days for the PA group (P0.05).The amount of blood loss in group DAA (238.0±55.3) mL,and in group PA (387.0±61.2) mL (P0.05).Complications were encountered in the two groups.There were two intraoperative complications (4.4%),1 great trochanter fracture and 1 lateral cutaneous nerve injury in DAA group.No dislocation was observed in DAA group.One dislocations and 1 groin pain were recorded in PA group.No prosthesis loosening,deep vein thrombosis,sciatic nerve injury and other complications occurred in the two groups.Conclusion:
Total hip arthroplasty using the anterior approach allows for superior recovery and better stability.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Chinês
Revista:
Journal of Peking University(Health Sciences)
Ano de publicação:
2017
Tipo de documento:
Artigo
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