Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty

International Orthopaedics
Johannes C ReichertUlrich Nöth

Abstract

The presented retrospective study compares clinical outcomes five years after total hip arthroplasty performed through a minimally invasive direct anterior approach and a direct transgluteal lateral approach. A total of 171 arthroplasties in 167 patients were evaluated utilizing the Harris hip score (HHS), the SF-36, a daily activity questionnaire, and the UCLA activity score. The average HHS showed no significant difference equalling 91.4 points in the anterior group and 92.4 in the lateral group (p = 0.952). The SF-36 physical component scores were 50.7 (anterior) and 50.0 (lateral) while the psychometric properties added up to 48.6 (anterior) and 50.3 (lateral) with no significant differences evident (p = 0.782, p = 0.071). Daily activity was found to result in 4,855 (anterior) and 5,016 (lateral) cycles, respectively (p = 0.364). No difference regarding pain sensation was determined (p = 0.859). A significant difference was found for the UCLA score, which was calculated to be 5.9 in the anterior and 6.4 in the lateral approach group (p = 0.008). In summary, our mid-term results show comparable outcomes for both approaches regarding functionality, pain, quality of life and daily activity.

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Citations

Aug 19, 2015·International Orthopaedics·Josef HochreiterKatja Emmanuel
Jan 19, 2017·The Journal of Bone and Joint Surgery. American Volume·R Michael MeneghiniBryan D Springer
Sep 5, 2018·Clinical Orthopaedics and Related Research·Knut Erik MjaalandLars Nordsletten
Jan 30, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Mohamed SarrajLuc Rubinger
Sep 29, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chinundorn PutananonJatupon Kongtharvonskul
Sep 25, 2020·Journal of Clinical Medicine·Peter Michael ProdingerBoris Michael Holzapfel
Jul 14, 2017·International Orthopaedics·Eberhard von RottkayJohannes Christian Reichert
Aug 1, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Phonthakorn PanichkulJatupon Kongtharvonskul
Mar 10, 2016·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Yvon M den HartogStephan B W Vehmeijer
May 8, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Falko DahmJochen G Hofstaetter
Aug 5, 2021·Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders·Hiroaki KijimaYoichi Shimada

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