scholarly journals A Specific Anteversion of Cup and Combined Anteversion for Total Hip Arthroplasty Using Lateral Approach

2020 ◽  
Vol 12 (6) ◽  
pp. 1663-1673
Author(s):  
Li Li ◽  
Yu Zhang ◽  
Yuan‐yuan Lin ◽  
Zhen‐xing Li ◽  
Liang Chen ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lateral Approach ◽  
Total Hip ◽  
Combined Anteversion

scholarly journals Abductor Muscle Force after Straight-Stem Compared to Short-Stem Total Hip Arthroplasty through a Modified Direct Lateral Approach: Functional Assessment of 70 Consecutive Patients of a Randomized Controlled Clinical Trial

2021 ◽  
Vol 10 (6) ◽  
pp. 1235
Author(s):  
Michael Fuchs ◽  
Marie-Anne Hein ◽  
Martin Faschingbauer ◽  
Mirco Sgroi ◽  
Ralf Bieger ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Muscle Strength ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lateral Approach ◽  
Short Stem ◽  
Abductor Muscle ◽  
Total Hip ◽  
Straight Stem ◽  
Direct Lateral Approach

Because of preservation of proximal femoral bone stock and minimized soft tissue trauma, short-stem implants are becoming increasingly important in total hip arthroplasty (THA). The postulated advantage regarding the functional outcome has not been verified. We hypothesized an increased abductor muscle strength by the use of a short-stem design. Seventy consecutive patients of a randomized clinical trial were included. Of these, 67 patients met the inclusion criteria after 12 months. Thirty-five patients received a standard straight stem and 32 patients a short-stem femoral component. All surgeries were performed by a modified direct lateral approach. Isometric muscle strength of the hip abductors was evaluated preoperatively 3 and 12 months after surgery. Harris hip score (HHS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were evaluated. After three months, there were no differences between the two groups; the abductor force was comparable to the preoperative initial values. After 12 months, a significant increase in muscle strength for the short stem patient group compared to preoperative baseline values was measured (straight-stem THA, 0.09 Nm/kg ± 0.4, p = 0.32; short-stem THA, 0.2 Nm/kg ± 0.3, p = 0.004). Comparison of the 12-month postoperative total HHS and WOMAC revealed no significant differences between both groups. A significant increase in hip abductor muscle strength 12 months after short-stem THA compared to conventional-stem THA was observed.

scholarly journals The Direct Anterior Approach Total Hip Arthroplasty Reliably Achieves “Safe Zones” for Combined Anteversion

2020 ◽  
Vol 6 (4) ◽  
pp. 651-654
Author(s):  
J. Benjamin Jackson ◽  
J. Ryan Martin ◽  
Aric Christal ◽  
John L. Masonis ◽  
Bryan D. Springer ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
Combined Anteversion ◽  
Safe Zones

scholarly journals A systematic review and meta-analysis of complications following the posterior and lateral surgical approaches to total hip arthroplasty

2015 ◽  
Vol 97 (1) ◽  
pp. 11-16 ◽  
Author(s):  
JR Berstock ◽  
AW Blom ◽  
AD Beswick
Keyword(s):  
Systematic Review ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Meta Analysis ◽  
Randomised Trial ◽  
Lateral Approach ◽  
Surgical Approaches ◽  
Controlled Trials ◽  
Total Hip ◽  
Randomised Controlled

Introduction Total hip arthroplasty is one of the most commonly performed orthopaedic procedures. Despite this, medical evidence to inform the choice of surgical approach is lacking. Currently in the UK, the two most frequently performed approaches to the hip are the posterior and the direct lateral. Methods This systematic review was performed according to Cochrane guidelines following an extensive search for prospective controlled trials published in any language before January 2014. Of the 728 records identified from searches, 6 prospective studies (including 3 randomised controlled trials) involving 517 participants provided data towards this review. Findings Compared with the lateral approach, the posterior approach conferred a significant reduction in the risk of Trendelenburg gait (odds ratio [OR]: 0.31, p=0.0002) and stem malposition (OR: 0.24, p=0.02), and a non-significant reduction in dislocation (OR: 0.37, p=0.16) and heterotopic ossification (OR: 0.41, p=0.13). Neither approach conferred a functional advantage. We draw attention to the paucity of evidence and the need for a further randomised trial.

No differences between direct anterior and lateral approach for primary total hip arthroplasty related to muscle damage or functional outcome

2016 ◽  
Vol 40 (10) ◽  
pp. 2025-2030 ◽  
Author(s):  
Belén De Anta-Díaz ◽  
Juan Serralta-Gomis ◽  
Alejandro Lizaur-Utrilla ◽  
Eliana Benavidez ◽  
Fernando Anacleto López-Prats
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Muscle Damage ◽  
Hip Arthroplasty ◽  
Lateral Approach ◽  
Total Hip ◽  
Primary Total Hip Arthroplasty

scholarly journals Hip abductor strength following total hip arthroplasty: A prospective comparison of the posterior and lateral approach in 100 patients

2001 ◽  
Vol 72 (3) ◽  
pp. 215-220 ◽  
Author(s):  
Nicholas D Downing ◽  
David I Clark ◽  
James W Hutchinson ◽  
Karen Colclough ◽  
Peter W Howard
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lateral Approach ◽  
Total Hip ◽  
Prospective Comparison ◽  
Hip Abductor ◽  
Abductor Strength
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