Total hip replacement using the direct anterior approach. Experience in a hospital of Bogotá D.C., Colombia
DOI:
https://doi.org/10.58814/01208845.34Keywords:
Arthroplasty, Replacement, Hip, Minimally invasive surgical procedures, Orthopedics, Hip Prosthesis, OsteoarthritisAbstract
Introduction: Total hip arthroplasty is the definitive treatment for osteoarthritis and intracapsular fractures of the hip in patients over 65 years of age. In recent years, direct anterior approach (DAA), also known as minimally invasive anterolateral approach (MIAA), has been reintroduced as an alternative to conventional procedures. However, there are few studies describing the outcomes of its application.
Objective: To describe the clinical and transoperative results and outcomes in patients who underwent total hip replacement using DAA.
Methodology: Retrospective cohort study conducted in 36 patients with osteoarthritis or intracapsular fractures of the hip who underwent hip arthroplasty using DDA in a tertiary care hospital in Bogotá D.C. between 2017 and 2020 and were followed up for at least 6 months.
Results: The mean age was 68.8 years (SD: 15.1), 58% of the participants were women. Primary osteoarthrosis was the main reason for indicating surgery (47.2%). In addition, the average hospital stay was 3 days (SD: 1.62), the median bleeding was 200cc (IQR: 200-300), and two intraoperative femur fractures occurred. Finally, there were no cases of postoperative prosthesis dislocation and all patients recovered functionality.
Conclusion: DAA demonstrated outstanding effectiveness for the functional recovery of patients, decreased operative time, and a low incidence of complications.
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References
Sebečić B, Starešinić M, Culjak V, Japjec M. Minimally invasive hip arthroplasty: advantages and disadvantages. Med Glas (Zenica). 2012;9(1): 160-5.
Balasubramaniam U, Dowsey M, Ma F, Dunin A, Choong P. Functional and clinical outcomes following anterior hip replacement: a 5-year comparative study versus posterior approach. ANZ J Surg 2016;86:589-93. https://doi.org/kszr.
Yang XT, Huang HF, Sun L, Yang Z, Deng CY, Tian XB. Direct Anterior Approach Versus Posterolateral Approach in Total Hip Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Studies. Orthop Surg. 2020;12:1065-73. https://doi.org/gqdtrb.
Medacta International S. A. AMIS Publication Review. Suiza: M. O. R. E. Journal;2016 (Suppl). Available from: http://bit.ly/3EzNNf8.
Gebel P, Oszwald M, Ishaque B, Ahmed G, Blessing R, Thorey F, et al. Process optimized minimally invasive total hip replacement. Orthop Rev (Pavia). 2012;4(1):3. https://doi.org/kszw.
World Medical Association (WMA). WMA Declaration of Helsinki – Ethical principles for medical research involving human subjects. Fortaleza: 64th WMA General Assembly; 2013.
Colombia. Ministerio de Salud. Resolución 8430 de 1993 (octubre 4): Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá D.C.; octubre 4 de 1993 [cited 2023 Aug 31]. Available at: https://bit.ly/31gu7do.
Putananon C, Tuchinda H, Arirachakaran A, Wongsak S, Narinsorasak T, Kongtharvonskul J. Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty: network meta-analysis. Eur J Orthop Surg Traumatol. 2018;28(2):255-67. https://doi.org/kszx.
Chen W, Sun JN, Zhang Y, Zhang Y, Chen XY, Feng S. Direct anterior versus posterolateral approaches for clinical outcomes after total hip arthroplasty: a systematic review and meta-analysis. J Orthop Surg Res. 2020;15(1):231. https://doi.org/kszz.
Sun X, Zhao X, Zhou L, Su Z. Direct anterior approach versus posterolateral approach in total hip arthroplasty: a meta-analysis of results on early post-operative period. J Orthop Surg Res. 2021;16(1):69. https://doi.org/ksz3.
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