keyword
https://read.qxmd.com/read/37344859/does-robot-assisted-surgery-reduce-leg-length-discrepancy-in-total-hip-replacement-robot-assisted-posterior-approach-versus-direct-anterior-approach-and-manual-posterior-approach-a-propensity-score-matching-study
#21
JOURNAL ARTICLE
Mingyang Ma, Ping Song, Shuai Zhang, Xiangpeng Kong, Wei Chai
BACKGROUND: Advocates of robot-assisted technique argue that robots could improve leg length restoration in total hip replacement. However, there were few studies to compare the robot-assisted posterior approach (RPA) with conventional posterior approach (PA) THA and direct anterior approach (DAA) THA in LLD. This study aimed to determine whether robot-assisted techniques could significantly reduce LLD compared to manual DAA and manual PA. METHODS: We retrospectively reviewed the cohort of consecutive ONFH patients who underwent THA robot-assisted posterior, manual posterior, and manual DAA from January 2018 to December 2020 in one institution...
June 22, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37275834/allograft-reconstruction-of-acetabular-labrum-has-comparable-outcomes-to-labral-refixation
#22
JOURNAL ARTICLE
Mohammad S Abdelaal, Ryan M Sutton, Cenk Atillasoy, Javad Parvizi
The acetabular labrum plays an important role in hip stability, intra-articular fluid pressurization and force distribution. For irreparable labral pathology, labral reconstruction is an increasingly adopted technique shown to decrease hip pain and improve function. We evaluated survivorship and clinical outcomes of allograft labral reconstruction using the mini-open anterior surgical approach. Twelve patients who underwent labral reconstruction using a semitendinosus tendon allograft (reconstruction group) were matched 1:3 based on age, gender, body mass index, year of surgery, preoperative Tönnis grade, previous hip surgery, residual hip pathology and extent of acetabular chondral lesion to a control group of 36 patients who underwent direct labral repair with anchors (refixation group)...
January 2023: Journal of Hip Preservation Surgery
https://read.qxmd.com/read/37275833/determining-anterior-hip-coverage-in-patients-with-hip-dysplasia-using-the-anterior-center-edge-angle-on-lequesne-s-false-profile-radiograph-and-on-computed-tomography
#23
JOURNAL ARTICLE
Hui Cheng, Liqiang Zhang, Dianzhong Luo, Ningtao Ren, Zhendong Zhang, Wang Gu, Yongcheng Hu, Hong Zhang
Anterior hip coverage is important for hip stability. As a parameter of anterior hip coverage, the anterior center-edge angle on false-profile radiograph (ACEA FP) is associated with clinical outcomes. With the widespread application of computed tomography (CT), the anterior center-edge angle on CT (ACEA CT) has also been used to measure anterior hip coverage. Little is known about the reproducibility of the ACEA FP and ACEA CT in patients with hip dysplasia or the correlation between the ACEA CT and ACEA FP...
January 2023: Journal of Hip Preservation Surgery
https://read.qxmd.com/read/37125586/a-new-minimal-invasive-approach-for-total-hip-replacement-in-sheep
#24
JOURNAL ARTICLE
C Melcher, O Gottschalk, F Mazoochian, K Pieper, V Wegener, C Schulze Pellengahr, W Teske, B Wegener
BACKGROUND: Over the last 50 years arthroplasty became the gold-standard treatment for disabling conditions of the coxofemoral joint. Variations of anterior, lateral, and dorsal incision have been applied, but as each approach requires the incision and reflection of various muscles to gain adequate exposure of the joint results are still controversial. OBJECTIVE: The purpose of this study was to develop a minimal-invasive, tissue-sparing approach in sheep with reduced risks in animal testing...
April 27, 2023: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/37087443/the-compared-study-about-femoral-stem-malalignment-with-or-without-the-special-curved-rasp-during-daa-total-hip-arthroplasty
#25
JOURNAL ARTICLE
Bei Lin, Yiping Lan, Zhiming Lu, Shiwei Xie, Feitai Lin, Yan Weng, Eryou Feng, Jinhua Chen
OBJECTIVE: To investigate whether the application of a curved rasp on the femoral side is effective in reducing the incidence of stem malalignment in total hip replacement with direct anterior approach (DAA-THA), followed by the analysis of the independent risk factors affecting stem malalignment. METHODS: Retrospective analysis was carried out covering 160 patients undergoing DAA-THA from January 2019 to December 2021, with Tri-Lock (BPS, Depuy) stem applied in all 113 patients were screened according to inclusion and exclusion criteria...
April 22, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/37050859/efficacy-of-direct-anterior-approach-versus-posterior-lateral-approach-for-total-hip-replacement-in-patients-with-parkinson-s-disease
#26
JOURNAL ARTICLE
Meng Yang, Mengxuan Yao, Kun Chu, Congcong Wei, Zihang Li, Jia Huo, Sikai Liu, Huijie Li
BACKGROUND The present study was performed to evaluate the efficacy of direct anterior approach (DAA) versus posterolateral approach (PLA) for total hip arthroplasty (THA) in patients with Parkinson's disease (PD). The aim of the study was to compare the speed of recovery of hip function and postoperative complications between the 2 approaches. MATERIAL AND METHODS The study included 285 Parkinson's patients who underwent THA; 209 eligible patients were recruited for analysis as per the inclusion criteria and assigned into DAA group (n=90) and PLA group (n=119) according to the surgical approach...
April 13, 2023: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/37031952/acute-total-hip-replacement-by-direct-anterior-approach-combined-with-intrapelvic-fixation-for-geriatric-acetabular-fracture-of-the-anterior-column
#27
JOURNAL ARTICLE
Bilal Kapanci, Sarah Zahri, Jérôme Valcarenghi, Tatiana Charles, Marc Jayankura
BACKGROUND: Management of anterior column acetabular fracture in the elderly is challenging. Open reduction and internal fixation do not allow early weight-bearing and are associated with a high risk of failure compared to younger patients. Therefore, acute fixation and total hip arthroplasty may be an option. MATERIAL AND METHOD: This technical note describes a combined procedure: anterior intrapelvic approach for fracture fixation and a direct anterior approach to the hip for THR...
April 7, 2023: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/37010580/comparing-direct-anterior-approach-versus-posterior-approach-or-lateral-approach-in-total-hip-arthroplasty-a-systematic-review-and-meta-analysis
#28
REVIEW
James Jia Ming Ang, James Randolph Onggo, Christopher Michael Stokes, Anuruban Ambikaipalan
BACKGROUND: There are several approaches to THA, and each has their respective advantages and disadvantages. Previous meta-analysis included non-randomised studies that introduce further heterogeneity and bias to the evidence presented. This meta-analysis aims to present level I evidence by comparing functional outcomes, peri-operative parameters and complications of direct anterior approach (DAA) versus posterior approach (PA) or lateral approach (LA) in THA. PATIENTS AND METHODS: A comprehensive multi-database search (PubMed, OVID Medline, EMBASE) was conducted from date of database inception to 1st December 2020...
April 3, 2023: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/36995474/pain-and-rehabilitation-after-total-hip-arthroplasty-are-approach-dependent-results-6%C3%A2-weeks-and-2%C3%A2-years-after-surgery-in-a-multisurgeon-single-center-and-prospective-cohort-study
#29
JOURNAL ARTICLE
Benjamin Ulmar, Katarzyna Remiszewska, Luis Contreras Navas, Matthias Hauschild, Marco Schneider, Stefan Kinkel, Alexander Zimmerer
PURPOSE: The aim of this study was the evaluation of pain, function, and overall satisfaction after total hip arthroplasty (THA) using three different standard surgical approaches (DAA (direct anterior approach), lateral, and posterior approach) 2 years postoperatively. Additionally, we compared the results with recently published results of the same study population 6 weeks postoperatively. METHODS: In a multisurgeon, prospective, single-center cohort study, a total of initial 188 patients who underwent total hip arthroplasty (THA) between February 2019 and April 2019 were analyzed on pain, function, and satisfaction within the first days, 6 weeks, and 2 years postoperatively according to three different approaches (DAA, lateral, and posterior approach)...
March 30, 2023: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/36945061/comparing-dislocation-rates-by-approach-following-elective-primary-dual-mobility-total-hip-arthroplasty-a-systematic-review
#30
Justin T Butler, Samuel D Stegelmann, Johnathon L Butler, Matthew Bullock, Richard M Miller
BACKGROUND: Dual mobility components can be implanted during total hip arthroplasty (THA) for primary osteoarthritis via a direct anterior approach (DAA), anterolateral approach (ALA), direct lateral approach (DLA), or posterior/posterolateral approach (PLA). This review compares dual mobility hip dislocation rates using these approaches for elective primary THA. METHODS: PubMed, Embase, and Cochrane databases were systematically searched for articles published after January 1, 2006 that reported dislocation rates for adult patients after primary THA with dual mobility implants...
March 22, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/36935481/direct-anterior-versus-direct-lateral-hip-approach-in-total-hip-arthroplasty-with-the-same-perioperative-protocols-one-year-post-fellowship-training
#31
JOURNAL ARTICLE
Asim M Makhdom, William J Hozack
BACKGROUND: Variable results have been reported regarding the clinical outcomes in Total hip arthroplasty (THA) based on the surgical approach. The aim of this study is to compare the clinical outcomes between Direct anterior (DA) and direct lateral (DL) approaches in THA when performed immediately after fellowship training. METHODS: During the 1st year of practice, all consecutive patients who underwent THA via DA and DL hip approaches were retrospectively investigated...
March 19, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/36919077/approaches-for-total-hip-arthroplasty-a-systematic-review
#32
REVIEW
Niketa Patel, Paresh Golwala
These surgical procedures have their own challenges, limitations, and success rate. The choice of surgical approach will depend on many factors including the surgeon's choice, type of pathology, bone stock, age of the patient, and experience of the surgeon. Whichever approach is used for total hip arthroplasty (THA), the primary goals of the surgery would be pain relief and enhancement in the quality of the patient's life suffering from hip pathologies. To further understand the advantages and potential pitfalls associated with different surgical approaches, we conducted a review study comparing different surgical approaches for THA in terms of their clinical and functional outcomes...
February 2023: Curēus
https://read.qxmd.com/read/36855127/hybrid-of-smith-peterson-and-watson-jones-minimally-invasive-direct-anterior-approach-to-the-hip-joint
#33
JOURNAL ARTICLE
Ting Zhang, Sambhu Choudhury
BACKGROUND: Muscle-sparing techniques, more consistent acetabular component positioning with fluoroscopy guidance, development in implants and instrumentation, expedited rehabilitation, and patients' expectations have led to increased utilization of various direct anterior and anterolateral approaches to the hip joint. METHODS AND SURGICAL TECHNIQUE: In this technical note, we demonstrate for the first time a hybrid modification of traditional Smith-Peterson and Watson-Jones approaches to the hip joint on a standard operating room (OR) table...
February 28, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/36837472/achieving-precise-cup-positioning-in-direct-anterior-total-hip-arthroplasty-a-narrative-review
#34
REVIEW
Laura Elisa Streck, Friedrich Boettner
Malpositioned implants in total hip arthroplasty are associated with impingement, increased wear, and dislocations, thus precise cup positioning is crucial. However, significant deviations between targeted and actually achieved cup positions have been found even in patients operated by experienced surgeons. When aiming for higher accuracy, various methods based on freehand positioning lead by anatomic landmarks, C-arm fluoroscopy, imageless navigation, or robotic-assisted-surgery have been described. There is a constant development of new products aiming to simplify and improve intraoperative guidance...
January 31, 2023: Medicina
https://read.qxmd.com/read/36727975/modernizing-our-understanding-of-total-hip-arthroplasty-in-the-pediatric-and-young-adult-patient-a-single-center-experience
#35
JOURNAL ARTICLE
Meghan A Whitmarsh-Brown, Alexander B Christ, Adrian J Lin, Ali A Siddiqui, Renee Y Herman, Daniel C Allison, Rachel Y Goldstein
INTRODUCTION: Pediatric hip disorders represent a broad range of pathology and remain a significant source of morbidity for children and young adults. Surgical intervention is often required for joint preservation, but when salvage is not possible, joint replacement may be indicated to eliminate pain and preserve function. Although there have been significant updates in the management of both pediatric hip disease and the field of total hip arthroplasty (THA), there is a paucity of literature reflecting advancements in the area of pediatric and young adult (PYA) arthroplasty...
January 19, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/36608836/does-surgical-approach-to-the-hip-play-a-role-in-same-day-discharge-outcomes
#36
JOURNAL ARTICLE
Brandon Passano, Trevor Simcox, Vivek Singh, Utkarsh Anil, Ran Schwarzkopf, Roy I Davidovitch
BACKGROUND: Different approaches for total hip arthroplasty (THA) may offer advantages in regard to achieving same-day-discharge (SDD) success. METHODS: We retrospectively identified patients aged ≥ 18 years who underwent elective primary THA from 2015 to 2020 who were formally enrolled in a single institution's SDD program. A total of 1,127 and 207 patients underwent THA via direct anterior approach and posterior approach, respectively, were included. Cohorts were assigned based on approach...
January 3, 2023: Journal of Arthroplasty
https://read.qxmd.com/read/36580052/assessing-leg-length-and-offset-in-anterior-total-hip-arthroplasty-overlay-versus-ap-pelvis-intraoperative-radiographic-techniques-a-retrospective-cohort-study
#37
JOURNAL ARTICLE
Robert R Burnham, Samantha E Bialek, Amy W Wozniak, Nicholas M Brown
INTRODUCTION: Two intraoperative radiographic techniques to determine leg length and offset during anterior total hip arthroplasty (THA) are the AP pelvis and overlay techniques. The AP pelvis method measures LLDs and offset using AP fluoroscopic images, whereas the overlay method uses printed images of the native and replaced hips. The purpose of this study was to compare these techniques regarding clinical and radiographic LLD and offset discrepancies. METHODS: Patients of a single surgeon at two hospitals from September 2017 to January 2021 were retrospectively reviewed...
January 15, 2023: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/36385185/effect-of-femoral-stem-surface-coating-on-clinical-and-radiographic-outcomes-of-cementless-primary-total-hip-arthroplasty-a-patient-matched-retrospective-study
#38
JOURNAL ARTICLE
Maria-Roxana Viamont-Guerra, Sonia Ramos-Pascual, Mo Saffarini, José Sales, Frederic Laude
PURPOSE: This study aims to determine whether changing the stem coating grants superior outcomes at a minimum follow-up of five years. METHODS: Retrospective review of a consecutive series of primary total hip arthroplasties (THAs) operated by direct anterior approach between 01/01/2013 and 31/12/2014. Two stems were compared, which were identical except for their surface coating; "the Original stem" was fully coated with hydroxyapatite (HA), while "the ProxCoat stem" was proximally coated with plasma-sprayed titanium and HA...
November 17, 2022: International Orthopaedics
https://read.qxmd.com/read/36380996/end-stage-hip-osteoarthritis-in-klippel-trenaunay-syndrome-a-case-report
#39
Georges Frederic Vles, Jeroen K J Bossen, Stijn Ghijselings
INTRODUCTION: Klippel-Trenaunay syndrome (KTS) affects the development of blood vessels, soft tissues (such as skin and muscles), and bone. It is a rare cause of severe degenerative joint disease at an early age. Orthopedic interventions in these patients bring numerous difficulties for various reasons. Up to this point, only six cases of attempted total hip arthroplasty (THA) in patients with KTS have been reported in the literature. The two most recent cases were prematurely aborted due to excessive bleeding and imminent risk of exsanguination...
April 2022: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/36263087/clinical-efficacy-of-direct-anterior-approach-vs-other-surgical-approaches-for-total-hip-arthroplasty-a-systematic-review-and-meta-analysis-based-on-rcts
#40
REVIEW
Zhongsheng Zhou, Yang Li, Yachen Peng, Jinlan Jiang, Jianlin Zuo
Background: Direct anterior approach (DAA) is an accurate technique for total hip arthroplasty (THA) through the muscle gap. Physicians who apply DAA believe that it accelerates patient recovery and results in lower rates of postoperative dislocation. However, the traditional surgical approach adherents believe that it is shorter and has fewer complications than DAA. Methods: We use the method of META analysis to organize and analyze the data of the randomized controlled studies (RCT) obtained after our screening...
2022: Frontiers in Surgery
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