[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.
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[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