Direct anterior approach versus posterolateral approach in total hip arthroplasty : one surgeon, two approaches / Bas Fransen in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 240-248 Titre : Direct anterior approach versus posterolateral approach in total hip arthroplasty : one surgeon, two approaches Type de document : texte imprimé Auteurs : Bas Fransen ; Marco Hoozemans ; Stan Vos Année de publication : 2016 Article en page(s) : p. 240-248 Langues : Anglais (eng) Mots-clés : prothèse totale  hanche  chirurgie Résumé : 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 performed a retrospective cohort study on the outcome of this variation of the DAA compared with the posterolateral approach (PLA) with one year follow- up. All procedures were uncemented THA performed in 2012 by a single surgeon. Patients in the DAA group (N = 45) had a lower Body Mass Index (p < .001) than the PLA group (N = 38). Functional outcome, pain scores and complications were comparable between the two approaches. Compared with PLA, the DAA was associated with 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). This study shows that the DAA on a regular operating table without using fluoroscopy has several advantages compared to the PLA. Permalink : ./index.php?lvl=notice_display&id=46089 [article] Direct anterior approach versus posterolateral approach in total hip arthroplasty : one surgeon, two approaches [texte imprimé] / Bas Fransen ; Marco Hoozemans ; Stan Vos . - 2016 . - p. 240-248. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 240-248 Mots-clés : prothèse totale  hanche  chirurgie Résumé : 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 performed a retrospective cohort study on the outcome of this variation of the DAA compared with the posterolateral approach (PLA) with one year follow- up. All procedures were uncemented THA performed in 2012 by a single surgeon. Patients in the DAA group (N = 45) had a lower Body Mass Index (p < .001) than the PLA group (N = 38). Functional outcome, pain scores and complications were comparable between the two approaches. Compared with PLA, the DAA was associated with 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). This study shows that the DAA on a regular operating table without using fluoroscopy has several advantages compared to the PLA. Permalink : ./index.php?lvl=notice_display&id=46089

Exemplaires (1)

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Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Variety in diagnosis and treatment of periprosthetic joint infections in Belgium and the Netherlands / Jesse W.P. Kuiper in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 149-160 Titre : Variety in diagnosis and treatment of periprosthetic joint infections in Belgium and the Netherlands Type de document : texte imprimé Auteurs : Jesse W.P. Kuiper ; Stan Vos ; Bart J. Burger ; Sascha Colen Année de publication : 2016 Article en page(s) : p. 149-160 Langues : Anglais (eng) Mots-clés : infection  articulation  prothese  arthroplastie Résumé : Recently, guidelines regarding diagnosis and treatment of periprosthetic joint infection (PJI) have been published, but it is unknown how well these are followed in the Netherlands and Belgium. Therefore, a survey study was performed in the Netherlands and Belgium. 81 orthopedic departments responded (54% in the Netherlands, 52% in Belgium). The majority used protocols for antibiotic and surgical treatment. To discriminate between early and late infection, differences in periods used were seen between respondents, and between countries. Empirical antibiotic treatment varied greatly. Debridement, antibiotics, irrigation and retention of the prosthesis (DAIR) is the almost unanimous treatment of choice for early PJI. Guidelines are available, but seem not (yet) to be followed accurately, and do not have answers to all possible treatment options. Perhaps, national guidelines might produce more standardized care, and consequentially, easier comparison for research, more transparency for patients, and less health care costs. Permalink : ./index.php?lvl=notice_display&id=46076 [article] Variety in diagnosis and treatment of periprosthetic joint infections in Belgium and the Netherlands [texte imprimé] / Jesse W.P. Kuiper ; Stan Vos ; Bart J. Burger ; Sascha Colen . - 2016 . - p. 149-160. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 149-160 Mots-clés : infection  articulation  prothese  arthroplastie Résumé : Recently, guidelines regarding diagnosis and treatment of periprosthetic joint infection (PJI) have been published, but it is unknown how well these are followed in the Netherlands and Belgium. Therefore, a survey study was performed in the Netherlands and Belgium. 81 orthopedic departments responded (54% in the Netherlands, 52% in Belgium). The majority used protocols for antibiotic and surgical treatment. To discriminate between early and late infection, differences in periods used were seen between respondents, and between countries. Empirical antibiotic treatment varied greatly. Debridement, antibiotics, irrigation and retention of the prosthesis (DAIR) is the almost unanimous treatment of choice for early PJI. Guidelines are available, but seem not (yet) to be followed accurately, and do not have answers to all possible treatment options. Perhaps, national guidelines might produce more standardized care, and consequentially, easier comparison for research, more transparency for patients, and less health care costs. Permalink : ./index.php?lvl=notice_display&id=46076

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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