Are there more wound complications or infections with direct anterior approach total hip arthroplasty?

Détails

ID Serval
serval:BIB_02C2AEA76208
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Are there more wound complications or infections with direct anterior approach total hip arthroplasty?
Périodique
Hip international
Auteur(s)
Tissot C., Vautrin M., Luyet A., Borens O.
ISSN
1724-6067 (Electronic)
ISSN-L
1120-7000
Statut éditorial
Publié
Date de publication
11/2018
Peer-reviewed
Oui
Volume
28
Numéro
6
Pages
591-598
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Compared to a lateral or posterior approach (PA), the direct anterior approach (DAA) does permit a better muscle preservation for total hip arthroplasty (THA). However, there is concern whether this advantage come with increased wound complication and infection leading to reoperation or sometimes major procedures.
We retrospectively reviewed all patients who underwent primary THA through the PA between January 2009 and April 2013 ( n = 796) and through the DAA between January 2011 and April 2013 ( n = 399) at our institution with a minimum of 2 years follow up regarding all wound complications and all infections.
Of the 796 patients in the PA group, there were 6 wound complications leading to reoperation and 6 infections; 4 early and 2 delayed onset. Among the infected cases, one was obese (body mass index [BMI] >30 kg/m2). Two procedures were teaching-based. Of the 399 patients in the DAA group, there were three dehiscences leading to reoperation, two of which were in obese patients. 6 infections were also found; 4 with early and 2 with delayed onset. Of the infected cases, three were obese. 4 procedures were teaching-based.
In our series of patients undergoing THA, the DAA did not increase the rates of either wound complications leading to reoperation nor early or delayed infection compared to the PA.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip/adverse effects, Arthroplasty, Replacement, Hip/methods, Body Mass Index, Female, Femoral Neck Fractures/complications, Femoral Neck Fractures/surgery, Humans, Joint Diseases/complications, Joint Diseases/surgery, Male, Middle Aged, Obesity/complications, Postoperative Complications/epidemiology, Reoperation, Retrospective Studies, Young Adult, Direct anterior approach, posterior approach, total hip arthroplasty, wound complication; infection
Pubmed
Web of science
Création de la notice
17/05/2018 19:39
Dernière modification de la notice
17/10/2019 5:11
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