Clinical outcomes following direct anterior approach during total hip arthroplasty without hip extension: a retrospective comparative study

Traditional total hip arthroplasty (THA) using the direct anterior approach (DAA) requires a hip extension. This study aimed to compare the clinical outcomes of patients undergoing THA with DAA using either the no hip extension (NHE) or the traditional hip extension (THE) strategy. A retrospective a...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2024-04, Vol.25 (1), p.276-276, Article 276
Main Authors: Xiong, Hua-Zhang, Xiang, Kuan, Liu, Xiu-Qi, Jin, Ying, Zhong, He-He, Wu, Shu-Hong, Peng, Jia-Chen
Format: Article
Language:English
Subjects:
Clinical outcomes
Comparison
Direct anterior approach
Femoral-release-first
Fractures
Health aspects
Hip
Hip joint
Iatrogenesis
Joint replacement surgery
Methods
Orthopedic implants
Orthopedics
Patients
Postoperative period
Prostheses
Surgeons
Surgical techniques
Total hip arthroplasty
Traditional approach
Transplants & implants
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Description
Summary:Traditional total hip arthroplasty (THA) using the direct anterior approach (DAA) requires a hip extension. This study aimed to compare the clinical outcomes of patients undergoing THA with DAA using either the no hip extension (NHE) or the traditional hip extension (THE) strategy. A retrospective analysis of demographics, clinical and radiological outcomes, and occurrence of complications was performed using data from 123 patients treated between January 2020 and November 2021. The patients were categorised into two groups: NHE (84 patients) and THE (39 patients). The NHE group exhibited shorter operative time and had more male participants with higher ages. Comparable outcomes were observed in the visual analogue scale, Harris Hip, and Oxford Hip scores at the final follow-up. Furthermore, complications were observed in the NHE and THE groups, including two and one greater trochanteric fractures and three and one transfusions, respectively. Compared to the THE, employing the NHE strategy during THA with DAA in elderly and young female patients resulted in comparable clinical outcomes with several advantages, such as favourable surgical time. The NHE method also exhibited good safety and effectiveness. Therefore, the NHE strategy may be a favourable option for elderly and young female patients.
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-024-07416-y