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

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Cote	Support	Localisation	Section	Disponibilité
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