Direct Anterior Approach for Primary Total Hip Arthroplasty Lowers the Risk of Dislocation Compared to the Posterior Approach: A Single Institution Experience

Author(s):  
Jacob A. Haynes ◽  
Robert H. Hopper ◽  
P. Henry Ho ◽  
James F. McDonald ◽  
Nancy L. Parks ◽  
...  
2015 ◽  
Vol 9 (1) ◽  
pp. 157-162 ◽  
Author(s):  
Sachiyuki Tsukada ◽  
Motohiro Wakui

Objective: The aim of the study was to compare the dislocation rate between total hip arthroplasty (THA) via direct anterior approach (DAA) and via posterior approach (PA). Methods: We compared a consecutive series of 139 THAs via DAA with 177 THAs via PA. All study patients received ceramic-on-ceramic bearing surfaces and similar uncemented prostheses. Dislocation-free survival after THA was estimated using the Kaplan–Meier survival method and compared between groups using the log-rank test. Results: In the DAA group, none of 139 hips experienced dislocations in five-year-average follow-up. In the PA group, seven hips experienced dislocations among 177 hips (4 %). The dislocation was significantly less in the DAA group compared to the PA group (p = 0.033). Conclusion: The dislocation rate of THA via DAA was significantly less than that of THA via PA.


Orthopedics ◽  
2020 ◽  
Vol 43 (4) ◽  
pp. 239-244 ◽  
Author(s):  
Nicholas C. Duethman ◽  
Joseph M. Statz ◽  
Robert T. Trousdale ◽  
Michael J. Taunton

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217068 ◽  
Author(s):  
Chisato Hoshino ◽  
Daisuke Koga ◽  
Gaku Koyano ◽  
Yuki Yamauchi ◽  
Tomoko Sakai ◽  
...  

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