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

被引:0
作者
Douven, Dirk P. M. [1 ]
van Kampen, Paulien M. [1 ]
Werner, Paul H. [2 ]
Schrier, Joost C. [2 ]
机构
[1] Bergman Clin, Dept Res & Innovat, Naarden, Netherlands
[2] Bergman Clin, Dept Orthopaed Surg, Breda, Netherlands
关键词
Direct anterior approach; performance based tests; physical tests; posterior approach; PERFORMANCE-BASED TESTS; OSTEOARTHRITIS; REPLACEMENT; DUTCH; SCORE;
D O I
10.1177/11207000241269285
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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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收藏
页码:733 / 740
页数:8
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