ARTICLE
TITLE

direct anterior approach versus posterolateral approach in total hip arthroplasty: one surgeon, two approaches

SUMMARY

Early research shows several advantages of the Direct Anterior Approach (DAA) in total hip arthroplasty (THA), although no studies evaluated the DAA on a regular operating table without using fluoroscopy. We compared the outcome of this variation of the DAA with the posterolateral approach (PLA) in uncemented THA.A retrospective cohort study was performed of uncemented primary THA (DAA and PLA) performed in 2012 by a single surgeon with one year follow-up.Patients in the DAA group (N=45) had a lower Body Mass Index (p<.001), longer operation time (p<0.001), more blood loss (p<0.001), shorter length of stay (p=.009), and more adequate acetabular cup inclination (p=.004) than the PLA group (N=38). Complications and functional outcome were comparable between the two approaches.This study shows for the first time that the DAA on a regular operating table without using fluoroscopy has several advantages compared to the PLA.

PAGES
COLLECTIONS
Medicine / Anatomy

 Articles related

Guglielmo Sorci, Davide Gabellini    

In 2020, due to the COVID-19 pandemic, the annual meeting of the Interuniversity Institute of Myology (IIM), took place on a virtual platform. Attendees were scientists and clinicians, as well as pharmaceutical companies and patient organization represen... see more


Sebastian S Mukka,Hamid R Hassany,Arkan S Sayed-Noor    

In this study, the restoration of leg length and global femoral offset and positioning of the femoral stem and acetabular cup of hemiartroplasty (HA) and total hip arthroplasty (THA) after femoral neck fracture (FNF) were compared at the postoperative ra... see more


Siddharth M Shah,William L Walter,Jessica Ngo    

Intra- operative changes in pelvic position during total hip arthroplasty (THA) can affect acetabular orientation. We evaluated these changes during supine THA using a proprietary mobile application called PelvicTracker. Twenty- two patients undergoing T... see more


Jan Vanlommel,Martin Sutter,Michael Leunig    

 Nerve palsy rates following THA in dysplastic hips are higher by ten times or more compared to the general population. We report a new technique to perform THA in high congenital dislocations.Between 2013 and 2015, 3 consecutive patients (4 hi... see more


Stefania Dalise, Peppino Tropea, Luca Galli, Andrea Sbrana, Carmelo Chisari    

Cancer cachexia has been reported to be directly responsible for at least 20% of cancer deaths. Management of muscle wasting in cancer-associated cachexia appears to be of pivotal importance for survival of patients. In this regard, it would be interesti... see more