ArticleActa bio-medica : Atenei Parmensis2020
Direct anterior total hip arthroplasty: a retrospective study.
Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Preoperative ultrasound to map the three-dimensional anatomical distribution of the lateral femoral cutaneous nerve in direct anterior approach for total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Trial
- Epidemiological Characteristics and Trends of Primary Hip Arthroplasty in Five Tertiary Hospitals: A Multicenter Retrospective Study.Orthopaedic surgery · 2023Article
- Good long-term outcomes for Direct Anterior Approach Total Hip Arthroplasty in South Africa.Journal of orthopaedicsArticle
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe quest for less invasive surgical approaches for total hip arthroplasty has gained much attention recently. There is very little information regarding differences about the main surgical access. The purpose of this study was to collect data regarding patients' subjective perceptions of the direct anterior hip arthroplasty, heterotopic ossification degrees, range of movement and complication and comparing these satisfaction results with the other surgical techniques.
methodsThe study involved 51 patients operated in our Orthopedic clinic with direct anterior total hip arthroplasty between 2016 and 2017. We recorded and compared clinical and radiographic data at 1 year with anterolateral hip arthroplasty.
resultOnly one patient described less than an 8/10 satisfaction; 5.45% of the patients restored the physiological ROM and 21.82 % lost only 5° of range of motion. According to Brooker Classification 58.33 % did not develop any Heterotopic Ossification.
conclusionAll standard approaches to the hip have been shown to be safe and efficacious, with particular advantages and disadvantages for each approach. DAA has some short term advantages like a faster recovery, less blood loss and less heterotopic ossification. Long term studies are required to demonstrate a cost benefit or quality of care advantage to other hip approaches.
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