scholarly journals Total hip arthroplasty through an anterior approach

2018 ◽  
Vol 3 (11) ◽  
pp. 574-583 ◽  
Author(s):  
Georgios Kyriakopoulos ◽  
Lazaros Poultsides ◽  
Panayiotis Christofilopoulos

Total hip arthroplasty through an anterior approach has been increasing in popularity amongst surgeons and patients. Anterior approach hip arthroplasty seems to offer improved early outcomes in terms of pain, rehabilitation and length of stay. No difference in long-term outcomes has been shown between anterior and posterior or lateral approaches. Proper formal training, utilization of fluoroscopy and adequate experience can mitigate risks of complications and improve early and medium-term outcomes. Cite this article: EFORT Open Rev 2018;3:574-583. DOI: 10.1302/2058-5241.3.180023.

2020 ◽  
Vol 35 (6) ◽  
pp. 1642-1650 ◽  
Author(s):  
Maria-Roxana Viamont-Guerra ◽  
Antonia F. Chen ◽  
Patrick Stirling ◽  
Luca Nover ◽  
Rodrigo Pereira Guimarães ◽  
...  

2015 ◽  
Vol 30 (12) ◽  
pp. 2242-2247 ◽  
Author(s):  
Emilios E. Pakos ◽  
Kosmas S. Stafilas ◽  
Aristomenis E. Tsovilis ◽  
John N. Vafiadis ◽  
Nikolaos K. Kalos ◽  
...  

2020 ◽  
Author(s):  
Wenli Chen ◽  
Mao Shuai ◽  
Jinluan Lin ◽  
Baomin Chen ◽  
Mingdong Zhao ◽  
...  

Abstract Background A high rate of complications due to metal-on-metal (MoM) revisions has been relatively commonly documented. The purpose of this retrospective study was to compare the long-term outcomes of patients who had undergone uncemented or cemented total hip arthroplasty (THA) revision for prior primary MoM THA failure.Methods Data from 234 patients (234 hips) who underwent uncemented or cemented THA (UTHA or CTHA) for prior primary MoM THA failure during 2007 - 2018 were retrospectively analysed. Follow-up occurred 3 months, 6 months, 1 year, 2 years, and then every 1 year after conversion. The mean follow-up time was 84.15 months (range, 67 - 101 months). The primary endpoint was the modified Harris Hip Score (HHS). The secondary endpoint was the major orthopaedic complication rate.Results The HHS demonstrated statistically greater differences in the CTHA group than in the UTHA group 12 months after conversion. From the 12th month after conversion to the final follow-up, CTHA yielded better functional outcomes than UTHA. There were significant differences in the rates of re-revision, aseptic loosening, and periprosthetic fracture between the groups (10.3% for UTHA vs 2.5% for CTHA, p = 0.015; 16.3% for UTHA vs 5.9% for CTHA, p = 0.011; and 12.0% for UTHA vs 4.2% for CTHA, p = 0.045, respectively).Conclusion In the setting of revision for primary MoM THA failure, we found definite evidence of the superiority of CTHA over UTHA in terms of improving functional outcomes and decreasing the major orthopaedic complication rate.


2018 ◽  
Vol 15 (1) ◽  
pp. 134-137 ◽  
Author(s):  
Takaaki Shishido ◽  
Toshiyuki Tateiwa ◽  
Yasuhito Takahashi ◽  
Toshinori Masaoka ◽  
Tsunehito Ishida ◽  
...  

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