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posterolateral hip arthroplasty

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https://www.readbyqxmd.com/read/28795909/reduced-revision-rate-and-maintained-function-after-hip-arthroplasty-for-femoral-neck-fractures-after-transition-from-posterolateral-to-direct-lateral-approach
#1
Sebastian Mukka, Björn Knutsson, Ammar Majeed, Arkan S Sayed-Noor
Background and purpose - The direct lateral (DL) approach to the hip for femoral neck fractures (FNF) has been shown to reduce the rate of dislocation and reoperations. We evaluate the effect of transition from the posterolateral (PL) to DL approach on reoperation and dislocation rates and patients' reported outcome. Patients and methods - In a prospective cohort study between 2012 and 2015, we enrolled 362 patients (median age 83 years, 70% women, mean follow-up 25 months) with a displaced FNF. The first group of 146 patients were operated using the PL and the second group of 216 patients with a DL approach, after change of our routines...
August 10, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28780222/posterolateral-vs-direct-anterior-approach-in-total-hip-arthroplasty-polada-trial-a-randomized-controlled-trial-to-assess-differences-in-serum-markers
#2
Kyrill Rykov, Inge H F Reininga, Maurits S Sietsma, Bas A S Knobben, Bas L E F Ten Have
BACKGROUND: The direct anterior approach (DAA) for total hip arthroplasty has claimed to be a true tissue-sparing minimally invasive approach that has less tissue damage and a faster recovery when compared to the posterolateral approach (PLA). The aim of this randomized controlled trial is to measure the differences in serum markers and functional outcomes between the DAA and PLA for total hip arthroplasty. METHODS: Forty-six patients were prospectively included and randomized for either the DAA (n = 23) or PLA (n = 23)...
July 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28662957/comparison-of-early-functional-recovery-after-total-hip-arthroplasty-using-a-direct-anterior-or-posterolateral-approach-a-randomized-controlled-trial
#3
Hai-Yan Zhao, Peng-De Kang, Ya-Yi Xia, Xiao-Jun Shi, Yong Nie, Fu-Xing Pei
BACKGROUND: Controversy exists as to whether early functional outcomes differ after total hip arthroplasty performed using the direct anterior approach (DAA) or the posterolateral approach (PLA). METHODS: One hundred twenty patients were enrolled in this study and were divided into 2 groups based on surgical approach. Group A included patients who had a total hip arthroplasty with a DAA, whereas group B included those with a PLA. Patients were randomized into the DAA or PLA groups (n = 60), and perioperative and postoperative outcomes were recorded...
June 8, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28625687/can-surgeons-reduce-the-risk-for-dislocation-after-primary-total-hip-arthroplasty-performed-using-the-posterolateral-approach
#4
Kurt G Seagrave, Anders Troelsen, Bjørn G Madsen, Henrik Husted, Thomas Kallemose, Kirill Gromov
BACKGROUND: Hip dislocation is one of the most common postoperative complications after total hip arthroplasty (THA). Potential contributors include patient- and surgical-related factors. We performed a retrospective cohort study to identify risk factors for postoperative dislocation in patients receiving THA via the posterolateral approach. METHODS: We assessed 1326 consecutive primary THAs performed between 2010 and 2015. Patient information was documented, and plain radiographic films were used to evaluate cup positioning, hip offset, and hip length change...
May 4, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28611959/measuring-the-impact-of-femoral-head-size-on-dislocation-rates-following-total-hip-arthroplasty
#5
Min-Wook Kim, Young-Yool Chung, Ji-Won Lee, Chel-Hwan Kim
PURPOSE: The purpose of this study was to evaluate if the femoral head's size has an impact on dislocation rates following total hip arthroplasty (THA). MATERIALS AND METHODS: Five hundreds forty-three THA performed using a posterolateral approach in our hospital and followed up more than 6 months were included in this study. We evaluated dislocation rates based on the size of femoral head (28 mm vs. over 32 mm) and further investigated the dislocation rates classified into primary and revision surgery...
June 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/28440704/effect-of-femoral-head-size-and-surgical-approach-on-risk-of-revision-for-dislocation-after-total-hip-arthroplasty
#6
Wierd P Zijlstra, Bas De Hartog, Liza N Van Steenbergen, B Willem Scheurs, Rob G H H Nelissen
Background and purpose - Recurrent dislocation is the commonest cause of early revision of a total hip arthropasty (THA). We examined the effect of femoral head size and surgical approach on revision rate for dislocation, and for other reasons, after total hip arthroplasty (THA). Patients and methods - We analyzed data on 166,231 primary THAs and 3,754 subsequent revision THAs performed between 2007 and 2015, registered in the Dutch Arthroplasty Register (LROI). Revision rate for dislocation, and for all other causes, were calculated by competing-risk analysis at 6-year follow-up...
August 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28416827/-comparison-of-the-effects-of-total-hip-arthroplasty-via-direct-anterior-approach-and-posterolateral-piriformis-sparing-approach
#7
J Xu, W D Zhuang, X W Li, G Y Yu, Y Lin, F Q Luo, Y H Xiao
OBJECTIVE: To compare the clinical effects of direct anterior approach (DAA) and posterolateral piriformis-sparing approach (Mis-PLA) for minimally invasive surgery of total hip arthroplasty. METHODS: The patients who had total hip arthroplasty from March 2015 to February 2016 were randomly divided into 2 groups: DAA group and Mis-PLA group. In the study, 43 patients (45 hips) were performed with total hip replacement via the direct anterior approach (DAA group)...
April 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28385944/the-stability-of-the-hip-after-the-use-of-a-proximal-femoral-endoprosthesis-for-oncological-indications-analysis-of-variables-relating-to-the-patient-and-the-surgical-technique
#8
MULTICENTER STUDY
E R Henderson, B J Keeney, E Pala, P T Funovics, W C Eward, J S Groundland, L K Ehrlichman, S S E Puchner, B E Brigman, J E Ready, H T Temple, P Ruggieri, R Windhager, G D Letson, F J Hornicek
AIMS: Instability of the hip is the most common mode of failure after reconstruction with a proximal femoral arthroplasty (PFA) using an endoprosthesis after excision of a tumour. Small studies report improved stability with capsular repair of the hip and other techniques, but these have not been investigated in a large series of patients. The aim of this study was to evaluate variables associated with the patient and the operation that affect post-operative stability. We hypothesised an association between capsular repair and stability...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28121928/cementless-total-hip-arthroplasty-in-patients-with-ankylosing-spondylitis-a-retrospective-observational-study
#9
Jun Xu, Min Zeng, Jie Xie, Ting Wen, Yihe Hu
Controversies on the surgical protocols and efficacies of total hip arthroplasty (THA) in ankylosing spondylitis (AS) still exist. The aim of this study was to retrospectively analyze the perioperative managements and their outcomes related to performing THA on patients with AS.Data of 54 AS patients who underwent 81 THAs between 2008 and 2014 were retrospectively analyzed. Clinical and imaging data were collected preoperatively, postoperatively, and during the follow-up period for surgical efficacy.Using posterolateral approach, cementless prostheses were selected in all cases...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27876253/the-impact-of-surgical-technique-on-patient-reported-outcome-measures-and-early-complications-after-total-hip-arthroplasty
#10
Udai S Sibia, Timothy R Turner, James H MacDonald, Paul J King
BACKGROUND: This study examines patient and surgeon reported outcome measures, complications during index admission, length of stay (LOS), and discharge disposition in a series of total hip replacements (THR) performed via the direct anterior (DA) or posterolateral (PL) approach. METHODS: Five surgeons performed 2698 total hip replacements (1457 DA vs 1241 PL) between January 2010 and June 2015. Complications during index admission were recorded using billing and claims data...
November 1, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27863919/direct-lateral-vs-posterolateral-approach-to-hemiarthroplasty-for-femoral-neck-fractures
#11
S Mukka, S Mahmood, B Kadum, O Sköldenberg, A Sayed-Noor
INTRODUCTION: Adopting the direct lateral (DL) instead of the posterolateral (PL) approach in hip arthroplasty for femoral neck fracture (FNF) patients could lower the rate of prosthetic dislocation. However, little is known about how the approach influences the functional outcome. HYPOTHESIS: We hypothesized that both approaches would give comparable results. MATERIAL AND METHODS: In a prospective cohort study, we enrolled 185 hips (183 patients, 128 women, median age 84 years) with a displaced FNF...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27853816/total-hip-arthroplasty-using-direct-anterior-approach-and-dual-mobility-cup-safe-and-efficient-strategy-against-post-operative-dislocation
#12
Cécile Batailler, Camdon Fary, Pierre Batailler, Elvire Servien, Philippe Neyret, Sébastien Lustig
AIM: We hypothesize that a dual mobility cup can be safely used via the direct anterior approach, without increasing the risk of complications or incorrect positioning. MATERIALS AND METHODS: This retrospective study compared 201 primary total hip arthroplasties using a dual mobility cup performed via direct anterior approach without a traction table, to 101 arthroplasties performed via posterolateral approach. Implant positioning, function scores, and early complications were recorded...
November 16, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27846875/the-design-of-a-randomised-controlled-trial-to-evaluate-the-cost-effectiveness-of-the-posterolateral-versus-the-direct-anterior-approach-for-tha-polada-trial
#13
K Rykov, I H F Reininga, B A S Knobben, M S Sietsma, B L E F Ten Have
BACKGROUND: Total hip arthroplasty (THA) is one of the most successful orthopaedic procedures. Because of the increasing number of THAs, a growing demand for faster recovery and a greater emphasis on cost-effectiveness, minimally invasive THAs have been introduced in the last decades. The direct anterior approach is a minimally invasive, tissue-sparing approach in which intermuscular planes are used. Theoretically, this approach should result in a faster recovery of physical functioning and higher health-related quality of life...
November 15, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27831458/direct-anterior-approach-versus-posterolateral-approach-in-total-hip-arthroplasty%C3%A2-one-surgeon-two-approaches
#14
B Fransen, M Hoozemans, S Vos
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 > ...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27822002/limited-benefits-of-the-direct-anterior-approach-in-primary-hip-arthroplasty-a-prospective-single-centre-cohort-study
#15
Jetse Jelsma, Rik Pijnenburg, Harm W Boons, Peter J M G Eggen, Lucas L A Kleijn, Herman Lacroix, Hub J Noten
BACKGROUND: Since years a discussion is held on the best approach to perform total hip replacement (THR). Risk of dislocation, abductor weakness and a possible difference in rehabilitation are mentioned. We performed this study to objectify that the use of the direct anterior approach (DAA) results in a faster rehabilitation after THR compared to the non-DAA (posterolateral and anterolateral) approach. METHODS: A single centre prospective cohort study was conducted...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27821101/factors-associated-with-symptomatic-pseudotumors-following-metal-on-metal-total-hip-arthroplasty
#16
Masahiro Hasegawa, Yohei Naito, Toshio Yamaguchi, Shinichi Miyazaki, Hiroki Wakabayashi, Akihiro Sudo
BACKGROUND: Pseudotumors associated with metal-on-metal hips can be symptomatic or asymptomatic. The purpose of this study was to identify the characteristics of pseudotumors associated with pain. METHODS: A total of 239 large-diameter, metal-on-metal total hip arthroplasties (THAs) were performed in 222 patients. Screening for pseudotumors was performed using magnetic resonance imaging (MRI) in all patients who underwent metal-on-metal THA, and 57 patients with 62 affected hips showed pseudotumors...
November 7, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27686547/-direct-anterior-approach-versus-posterolateral-approach-for-total-hip-arthroplasty-in-the-lateral-decubitus-position
#17
RANDOMIZED CONTROLLED TRIAL
Z L Luo, M Chen, X F Shang, F Hu, Z Ni, P Cheng, X F Ji, K R Wu, X Q Zhang
Objective: To compare the clinical efficacy of the direct anterior approach (DAA) and the posterolateral approach (PLA) for total hip arthroplasty (THA) in the lateral decubitus position. Methods: From July to December, 2014, 104 patients randomly divided into two equal groups of the DAA group and the PLA group underwent unilateral primary THA procedures.All procedures were performed by the same surgeon in the Department of Orthopaedics, the Affiliated Anhui Provincial Hospital of Anhui Medical University.General data, perioperative index, postoperative function and radiological evaluation were recorded and statistically analyzed...
September 20, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27642444/-total-hip-replacement-as-a-result-of-coxalgia-about-10-cases
#18
Aniss Chagou, Abdelatif Benbouha, Abdelkarim Rhanim, Abdou Lahlou, Mohammed Saleh Berrada, Moradh El Yaacoubi
Coxalgia causes osteocartilaginous destructions of the hip joint; these lesions are responsible for severe pain leading to functional discomfort and limitations in everyday life. Their surgical treatment is still not well established. The aim of our study was to demonstrate the interest of total hip arthroplasty associated with anti-tuberculous chemotherapy to improve patients' quality of life. We report a retrospective study of 10 cases of total hip replacement following coxalgia at the Department of Orthopaedics and Trauma of Rabat University Hospital from 2002 to 2011...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27385946/direct-repair-of-the-superior-band-of-bigelow-s-ligament-after-hip-arthroplasty-a-surgical-technique
#19
Joseph Liu, Alexander S McLawhorn, Alexander B Christ, Peteris Dzenis, John H Healey
BACKGROUND: The posterolateral approach is one of the most common approaches used during hip arthroplasty. A posterior soft tissue repair is necessary to limit the risk of postoperative dislocation. For a trapezoidal capsulotomy, the proximal limb divides the superior band of the iliofemoral ligament (Bigelow's ligament). A transosseous repair frequently leaves a defect in this region, which may elevate the risk for dislocation. The purpose of this article is to describe a simple, rational technique for reinforcing the posterior capsular repair...
July 2016: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/27384045/r%C3%A3-ttinger-approach-with-dual-mobility-cup-to-improve-functional-recovery-in-hip-osteoarthritis-patients-biomechanical-and-clinical-follow-up
#20
Pierre Martz, Abderrahmane Bourredjem, Davy Laroche, Marc Arcens, Ludovic Labattut, Christine Binquet, Jean-Francis Maillefert, Emmanuel Baulot, Paul Ornetti
PURPOSE: We assumed that the combination of dual-mobility total hip arthroplasty (THA) using the minimally-invasive Röttinger anterolateral approach could guarantee hip stability with faster functional recovery. We objectively analyzed functional improvement after dual-mobility THA by quantitative gait analysis. METHODS: We compared the results achieved following two different surgical approaches: Röttinger's versus Moore's approach (posterolateral approach). We included 70 patients in an open prospective single-centre study: 38 by Rottinger's approach (age = 67yo) and 32 by Moores's approach (age = 68yo)...
July 6, 2016: International Orthopaedics
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