scholarly journals Perioperative Complications Following One-Stage Bilateral and Unilateral Total Hip Arthroplasty via Direct Anterior Approach

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
John Attenello ◽  
Maria Opanova ◽  
Anne Richardson Wright ◽  
Michele Saruwatari ◽  
Kelvin Naito ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Retrospective Review ◽  
Anterior Approach ◽  
Perioperative Complications ◽  
Direct Anterior Approach ◽  
Single Stage ◽  
Perioperative Outcomes ◽  
Total Hip ◽  
Hip Arthroplasties

Background A single stage bilateral total hip arthroplasty utilizing the direct anterior approach has been reported to have a similar incidence of perioperative complications as unilateral total hip arthroplasty.  However, previous studies have included various surgeons with differences in contraindications, protocol, technique and/or experience. Questions/Purposes The purpose of this retrospective review was to compare perioperative outcomes in single-stage bilateral and unilateral total hip arthroplasties via the direct anterior approach performed by a single, fellowship trained, high volume arthroplasty surgeon. Methods A retrospective review was completed on consecutive single-stage bilateral total hip arthroplasties performed between 2009 and 2017 and compared to consecutive unilateral total hip arthroplasties performed between 2014 and 2016.  Perioperative data and complications occurring within 90 days were collected for all included patients.  Student t-tests were performed to detect differences between bilateral and unilateral surgical variables. Results A total of 349 patients (531 hips) were included, consisting of 182 BTHA patients (364 hips) and 167 unilateral THA patients. Patients undergoing unilateral THA had significantly lower operating time, shorter length of stay, lower estimated blood loss, lower rate of transfusions and higher rate of home discharge compared to BTHA (p<0.001). Complications were present in four unilateral THA patients, three requiring revision, and nine BTHA patients, three requiring revision. Conclusions There was no difference in complications, as well as no perioperative mortalities or systemic complications, within 90 days following surgery between unilateral and bilateral patients.  Based on these results, single-stage DAA BTHA is a safe procedure to perform, and did not appear to result in higher rates of complications when compared to patients receiving a DAA unilateral THA.

Return to Sport After Bilateral Single Stage Total Hip Arthroplasty Using the Direct Anterior Approach: A Case Control Study

2019 ◽  
Vol 34 (12) ◽  
pp. 2972-2977 ◽  
Author(s):  
Cécile Batailler ◽  
Anouk Rozinthe ◽  
Marcelle Mercier ◽  
Christopher Bankhead ◽  
Romain Gaillard ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Case Control Study ◽  
Return To Sport ◽  
Direct Anterior Approach ◽  
Case Control ◽  
Single Stage ◽  
Total Hip ◽  
Control Study

Conversion Total Hip Arthroplasty with a Direct Anterior Approach for Failed Treatment of Acetabular Fractures

2020 ◽  
Vol 4 (03) ◽  
pp. 129-133
Author(s):  
Andrew G. Yun ◽  
Marilena Qutami ◽  
Kory B. Dylan Pasko
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Perioperative Complications ◽  
Direct Anterior Approach ◽  
Acetabular Fractures ◽  
High Risk Population ◽  
Salvage Procedure ◽  
Total Hip

AbstractTotal hip arthroplasty (THA) is a salvage procedure after failed treatment of acetabular fractures. Technical challenges increase the risk of perioperative complications, specifically nerve palsy and dislocation. The direct anterior approach (DAA) was evaluated to mitigate these risks. Clinical and radiographic outcomes were reviewed retrospectively. Thirteen patients underwent conversion THA. Of the 13, nine had been treated with open reduction internal fixation (ORIF), one with traction, and three conservatively. When possible, retained hardware was deliberately left in place. At a mean follow-up of 4 years, there were no major complications, readmissions, revisions, or deaths. Two nonunions managed with autografting went on to union. The mean HOOS (hip disability and osteoarthritis outcome) Jr score at follow-up was 89. These data suggest that the DAA may be a reasonable alternative to the posterior approach in this high-risk population.

scholarly journals Direct Anterior Approach for One-Stage Bilateral Total Hip Arthroplasty in an ASA 3 Wheelchair-Dependent Woman

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
B. (Britt) Barvelink ◽  
J. T. (Arjan) Hooghof ◽  
R. B. G. (Roy) Brokelman
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Perioperative Complications ◽  
Early Mobilization ◽  
Direct Anterior Approach ◽  
Contralateral Side ◽  
Total Hip ◽  
One Stage ◽  
Superior Approach

This case report involves a 79-year-old wheelchair-dependent woman with bilateral destructive coxarthrosis, requiring total hip arthroplasty (THA). Mobilization and transfers were unbearable due to the bilateral involvement of her hips. Performing unilateral THA would not be sufficient due to the coexisting pain from the contralateral side. Therefore, the decision was made to perform bilateral THA in one stage using the direct anterior approach (DAA). One-stage bilateral THA (1-SBTHA) using the DAA in ASA 3 patients is not previously described in the literature. The procedure was completed as planned, without any major perioperative complications. Eight weeks postoperatively, the patient was able to mobilize unaccompanied using a walker. She regained her mobility and independence. This outcome suggests that 1-SBTHA using DAA can be considered for disabling coxarthrosis in carefully selected ASA 3 patients. DAA is the superior approach for 1-SBTHA, due to decreased muscle damage leading to early mobilization with improved gait. Another benefit of DAA is that both hips can be draped simultaneously without repositioning the patient during the procedure.

Hospital Adverse Events and Perioperative Outcomes in Bilateral Direct Anterior Approach Total Hip Arthroplasty

2020 ◽  
Vol 35 (3) ◽  
pp. 762-766 ◽  
Author(s):  
Jesus M. Villa ◽  
Tejbir S. Pannu ◽  
Carlos A. Higuera ◽  
Juan C. Suarez ◽  
Preetesh D. Patel ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Adverse Events ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Perioperative Outcomes ◽  
Total Hip

scholarly journals Repair of Symptomatic Partial Gluteus Medius Tear During Total Hip Arthroplasty Through the Direct Anterior Approach

2021 ◽  
Vol 10 (2) ◽  
pp. e575-e580
Author(s):  
David R. Maldonado ◽  
Samantha C. Diulus ◽  
Mitchell B. Meghpara ◽  
Rachel M. Glein ◽  
Hari K. Ankem ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Gluteus Medius ◽  
Direct Anterior Approach ◽  
Total Hip
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