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

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_A9CF792B3206
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Total hip arthroplasty through the direct anterior approach with and without the use of a traction table: a matched-control, retrospective, single-surgeon study.
Périodique
Journal of orthopaedic surgery and research
Auteur(s)
Wernly D., Wegrzyn J., Lallemand G., Mahlouly J., Tissot C., Antoniadis A.
ISSN
1749-799X (Electronic)
ISSN-L
1749-799X
Statut éditorial
Publié
Date de publication
11/01/2021
Peer-reviewed
Oui
Volume
16
Numéro
1
Pages
45
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
Surgery, Orthopedics and Sports Medicine, Complications, Direct anterior approach, Leg length, Total hip arthroplasty, Traction table
Pubmed
Web of science
Open Access
Oui
Création de la notice
13/01/2021 9:41
Dernière modification de la notice
30/04/2021 7:13
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