A randomised trial comparing spatio-temporal gait parameters after total hip arthroplasty between the direct anterior and direct lateral surgical approaches

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Bryn O ZomarBrent A Lanting

Abstract

Total hip arthroplasty (THA) is a successful procedure for relieving symptoms of severe osteoarthritis. Surgical approach is a key factor in early recovery and although controversial, little has been written about the direct anterior (DA) approach using objective early measures. 78 participants were prospectively enrolled to undergo a THA through either a DA or direct lateral (DL) surgical approach. Outcome measures were collected preoperatively and at discharge from the hospital, and 2-, 6- and 12-weeks. Outcome measures included the GAITRite® system to measure gait velocity, stride length, single-limb support and single-limb support symmetry. At each time point participants also completed the Timed Up and Go (TUG), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), 12-Item Short-Form Survey (SF-12), Harris Hip Score, and pain visual analog scale (VAS). We found statistically significant differences in gait velocity at discharge, 2-weeks and 6-weeks in favour of the DA group (all p < 0.01). We also found significant differences in favour of the DA group for single-limb support symmetry at 6-weeks ( p < 0.01) and 12-weeks ( p < 0.01). The time to complete the TUG test was also significantly shorter in t...Continue Reading

References

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Citations

Feb 28, 2019·Journal of Orthopaedic Surgery and Research·Zhao WangJing-Zhao Hou
Sep 8, 2018·Journal of Orthopaedic Surgery and Research·Zhao WangHong-Wei Bao
Oct 2, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·William M MihalkoHani Haider
Oct 23, 2020·Arthritis Care & Research·Jack W WeickJoel J Gagnier
Dec 4, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Andrea Cozzi LepriRoberto Civinini
May 20, 2020·The Journal of Arthroplasty·Vivek SinghRoy Davidovitch

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

SPSS
GAITRite

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