Short-Term Functional Outcomes of Primary Total Hip Arthroplasty Using A Modified Minimally Invasive Antero Lateral Approach

Background: Introduction of new implants should be monitored closely to capture any signs of compromising patient safety. Vitamin E infused highly-crosslinked polyethylene liners (VEPE) offer the potential for reduced wear. Highwall liners have been hypothesised to result in increased wear and potential liner fractures. The aim of this study was to determine the 3–7-year follow-up of highwall VEPE for primary total hip arthroplasty (THA), focusing on liner-related complications. Methods: We included 1221 consecutive THA operations from July 2010 to May 2014 with minimum follow-up of 3 (3.1–6.8) years Data collected included demographics, implant data, complications, reoperations, and deaths. Data were cross-referenced with the Danish Hip Arthroplasty Registry in order to ensure validity and completeness. Acetabular shell position was measured using Martell Hip Analysis Suite in a subgroup of 931 THAs. Results: Cumulative stem revision and shell revision at 3-year follow-up was 3.4% and 0.4% respectively. There were no revisions due to liner failure. Reason for revision included 11 dislocations, 15 soft-tissue revisions for infection, 44 stem revisions of which 34 were periprosthetic fractures and 13 shell revisions of which 6 were combined shell and stem revisions. Conclusion: Early follow-up of VEPE liners for primary THA have not shown any revisions associated with liner failure. Continued monitoring of new materials are necessary to capture any signs of compromised patient safety.

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A prospective randomized comparison of the minimally invasive direct anterior and the transgluteal approach for primary total hip arthroplasty

BMC Musculoskeletal Disorders ◽

10.1186/s12891-018-2133-4 ◽

2018 ◽

Vol 19 (1) ◽

Cited By ~ 8

Author(s):

Johannes C. Reichert ◽

Eberhard von Rottkay ◽

Franz Roth ◽

Tim Renz ◽

Johannes Hausmann ◽

...

Keyword(s):

Total Hip Arthroplasty ◽

Minimally Invasive ◽

Hip Arthroplasty ◽

Total Hip ◽

Transgluteal Approach ◽

Primary Total Hip Arthroplasty

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The Mini-incision Direct Lateral Approach in Primary Total Hip Arthroplasty

Clinical Orthopaedics and Related Research ◽

10.1097/01.blo.0000193812.31329.3a ◽

2005 ◽

Vol 441 (&NA;) ◽

pp. 99-103 ◽

Cited By ~ 58

Author(s):

David A. L O???Brien ◽

Cecil H Rorabeck

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Lateral Approach ◽

Total Hip ◽

Direct Lateral Approach ◽

Mini Incision ◽

Primary Total Hip Arthroplasty

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

International Orthopaedics ◽

10.1007/s00264-015-3108-9 ◽

2016 ◽

Vol 40 (10) ◽

pp. 2025-2030 ◽

Cited By ~ 28

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

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Clinical, Functional and Radiographic Outcomes of Primary Total Hip Arthroplasty between Direct Anterior Approach and Posterior Approach: a Systematic Review and Meta-analysis

10.21203/rs.2.21945/v1 ◽

2020 ◽

Author(s):

Linbo Peng ◽

Yi Zeng ◽

Yuangang Wu ◽

Junfeng Zeng ◽

Yuan Liu ◽

...

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Functional Outcomes ◽

Meta Analysis ◽

Direct Anterior Approach ◽

Total Hip ◽

Randomized Controlled ◽

Radiographic Outcomes ◽

Significant Difference ◽

Primary Total Hip Arthroplasty

Abstract Background: The purpose of this systematic review and meta-analysis was to compare the clinical, functional and radiographic outcomes of primary total hip arthroplasty between the direct anterior approach and posterior approach. Methods: We searched the PubMed, EMBASE databases and Cochrane library from the inception dates to November 1, 2019. And we also searched for the meta-analysis which was published in the past for randomized controlled trials. Results: A total of 7 randomized controlled trials with 600 participants fulfilled the inclusion criteria. Among these, 301 and 299 patients were in the DAA and PA groups, respectively. DAA was associated with a longer surgery time by a mean of 13.74 min (95% CI 6.88 to 20.61, p < 0.0001, I2=93%). Postoperative early functional outcomes were significantly better in the DAA group than PA group such as Visual Analogue Scale (VAS) postoperative 1 day (MD=-0.65, 95% CI -0.91 to -0.38,p < 0.00001, I2=0%), VAS score postoperative 2 days (MD=-0.67, 95% CI -1.34 to -0.01, p =0.05,I2=88%) and Harris Hip Score (HHS) postoperative 6 weeks(MD=6.05, 95% CI 1.14 to 10.95, p =0.02, I2=52%).There was no significant difference between the DAA and PA groups at length of incision, length of stay(LOS), blood loss, transfusion rates or complication rates. We found no significant difference between the two groups about late functional outcomes such as VAS score postoperative 12 months or HHS scores postoperative 3, 6, 12 months. A significant difference in Radiographic outcomes can not be detected too. Conclusions: DAA needs longer surgery time than PA in primary total hip arthroplasty. The DAA offers better early functional recovery than PA. There is no significant difference between the two groups in terms of other clinical, complication, late functional and radiographic outcomes. The evidence about the superiority of DAA is insufficient, which needs more research.

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