Total hip arthroplasty through the direct anterior approach with and without the use of a traction table: a matched-control, retrospective, single-surgeon study.

Details

Serval ID
serval:BIB_A9CF792B3206
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Total hip arthroplasty through the direct anterior approach with and without the use of a traction table: a matched-control, retrospective, single-surgeon study.
Journal
Journal of orthopaedic surgery and research
Author(s)
Wernly D., Wegrzyn J., Lallemand G., Mahlouly J., Tissot C., Antoniadis A.
ISSN
1749-799X (Electronic)
ISSN-L
1749-799X
Publication state
Published
Issued date
11/01/2021
Peer-reviewed
Oui
Volume
16
Number
1
Pages
45
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Hip surgeons performing total hip arthroplasty (THA) through the direct anterior approach (DAA) commonly use a traction table to facilitate exposure. Even though performing THA through DAA without a traction table could be technically more demanding, this technique offers the advantage of intraoperative leg length comparison. Therefore, this study aimed to compare clinical outcomes, complication rates, component positioning, and leg length discrepancy (LLD) after THA through the DAA performed with or without a traction table.
A single-surgeon continuous series of 75 patients who underwent DAA THA performed with a traction table was matched for gender, age, and BMI with 75 patients who underwent DAA THA performed without a traction table (male, 62; female, 88, with an average age of 68 years old). Clinical and radiological outcomes, intra- and postoperative complications, and LLD were retrospectively assessed.
No statistically significant difference was detected in surgical time, hospital stay, Harris Hip Score (HHS), complication rates, and implant positioning between the two groups. Leg length restoration was significantly more accurate in the group performed without a traction table (2.4 ± 2 mm vs. 3.7 ± 3.1 mm; p value ≤ 0.05). No LLD > 10 mm was reported in the group performed without a traction table, whereas two cases (2.7%) were reported in those performed with a traction table.
Performing THA through DAA without a traction table was associated with a significantly more accurate leg length restoration without a significant increase in the rates of intra- and postoperative complications.
Keywords
Surgery, Orthopedics and Sports Medicine, Complications, Direct anterior approach, Leg length, Total hip arthroplasty, Traction table
Pubmed
Web of science
Open Access
Yes
Create date
13/01/2021 9:41
Last modification date
13/03/2021 7:22
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