No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty.

IF 1.3 4区医学 Q3 ORTHOPEDICS HIP International Pub Date : 2024-11-01 Epub Date: 2024-08-11 DOI:10.1177/11207000241269285

Dirk P M Douven, Paulien M van Kampen, Paul H Werner, Joost C Schrier

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Abstract

Background: Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes.

Methods: Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up.

Results: There is no significant difference (p < 0.05) between the DAA and PA on primary outcome (OHS). There was a main effect of time which indicated an increase of OHS over time independent of group (p < 0.01).

Conclusions: In the current study, no significant differences in postoperative functional outcome were found between DAA and PA in all follow-up moments.

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在接受全髋关节置换术的患者中，前方直接入路和后方入路的早期功能效果没有差异。

背景：本研究以牛津髋关节评分（OHS）作为主要结果，评估了直接前路（DAA）和后路（PA）全髋关节置换术（THA）的客观和主观结果。疼痛、3项客观性能测试、手术时间、失血量和住院时间作为次要结果进行评估：通过共同决策，原发性终末期骨关节炎患者被前瞻性地纳入DAA（32名患者）或PA（26名患者）。术前收集基线数据，术后进行 2、6、9 和 12 个月的随访：结果：术后 2 个月、6 个月、9 个月和 12 个月随访结果无明显差异（P在当前的研究中，DAA 和 PA 在所有随访时刻的术后功能结果均无明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HIP International 医学-整形外科

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

2 months

期刊介绍： HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology