Early Outcome Comparison Between the Direct Anterior Approach and the Mini-Incision Posterior Approach for Primary Total Hip Arthroplasty: 150 Consecutive Cases

Abstract This study evaluated early postoperative results of 150 consecutive primary total hip arthroplasties performed by a single surgeon; 50 from mini-incision posterior approach, 50 during the learning curve for the direct anterior approach, and 50 subsequent cases when the approach was routine....

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Bibliographic Details
Published in:The Journal of arthroplasty 2014-06, Vol.29 (6), p.1256-1260
Main Authors: Zawadsky, Mark W., MD, Paulus, Megan C., MD, Murray, Patrick J., MD, Johansen, Matthew A., MD
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Hip - methods
direct anterior total hip arthroplasty
Female
functional recovery
Hip Joint - surgery
Hip Prosthesis
Humans
Joint Diseases - surgery
Learning Curve
Male
Middle Aged
Orthopedics
posterior total hip arthroplasty
Retrospective Studies
Smith-Peterson
Time Factors
total hip arthroplasty
Treatment Outcome
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Summary:Abstract This study evaluated early postoperative results of 150 consecutive primary total hip arthroplasties performed by a single surgeon; 50 from mini-incision posterior approach, 50 during the learning curve for the direct anterior approach, and 50 subsequent cases when the approach was routine. The anterior approach groups had significantly reduced hospital length of stays (2.9 and 2.7 days versus 3.9 days for the posterior group; P < 0.0001) and discharge to home versus rehab was more likely (80% and 84% in anterior groups, 56% in posterior group; P = 0.0028). In the anterior groups, there was significantly less use of assistive devices and narcotics at 6 weeks, and pain was significantly lower. Primary total hip arthroplasty using the anterior approach allows for superior recovery in a matched cohort of patients.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2013.11.013