Fluoroscopy-guided direct anterior approach total hip arthroplasty provides more accurate component positions in the supine position than in the lateral position.
Acetabular prosthesis
Direct anterior approach
Fluoroscopy
Position
The femoral prosthesis
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
14 Nov 2023
14 Nov 2023
Historique:
received:
23
02
2023
accepted:
02
11
2023
medline:
15
11
2023
pubmed:
14
11
2023
entrez:
14
11
2023
Statut:
epublish
Résumé
The position of the acetabular and femoral components is critical for stability and wear resistance. The aim of this study is to investigate whether the fluoroscopy-guided direct anterior approach in the supine position (S-DAA) is more helpful in improving the position of acetabular and femoral components than the fluoroscopy-guided direct anterior approach in the lateral decubitus position (L-DAA). A retrospective analysis of 76 cases of fluoroscopy-guided direct anterior approach total hip arthroplasty (38 cases in the S-DAA and 38 cases in the L-DAA group) was performed in one hospital from 2019 to 2021. The differences in inclination, anteversion, femoral offset (FO), global offset (GO), and leg length discrepancy (LLD) measurements during and after surgery were analyzed. The postoperative femoral offset (FO), global offset (GO), leg length discrepancy (LLD), and preoperative and postoperative Harris hip score were compared between the two groups. In the S-DAA group, there were no significant differences in the mean intraoperative inclination angle anteversion angle, FO, GO, and LLD compared to the postoperative values, whereas in the L-DAA group, there were significant differences between the intraoperative and postoperative measurements (P < 0.001, P = 0.009, P＜0.001, P＜0.001 and P = 0.008, respectively). Additionally, there were significant differences in the accuracy of LLD, FO, and GO between the two groups (P < 0.001). Compared with the L-DAA group, the average differences of inclination, anteversion, LLD, FO, and GO during and after operation in the S-DAA group were smaller, and the consistency was higher. There was a significant difference in Harris hip score between the two groups at 1 week after surgery (P = 0.033). There was no significant difference in Harris hip score between 1 month and 3 months after surgery (P = 0.482 and P = 0.797, respectively). In the supine group, the direct anterior approach (DAA) provides more accurate positioning of the acetabular and femoral components. However, there was no significant difference in hip joint function and activity between the two groups at follow-up.
Identifiants
pubmed: 37957622
doi: 10.1186/s12891-023-07014-4
pii: 10.1186/s12891-023-07014-4
pmc: PMC10644644
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
884Subventions
Organisme : the National Natural Science Foundation of China
ID : No. 81974576
Informations de copyright
© 2023. The Author(s).
Références
J Orthop Surg (Hong Kong). 2021 May-Aug;29(2):23094990211025325
pubmed: 34308688
EFORT Open Rev. 2022 May 31;7(6):365-374
pubmed: 35638598
J Arthroplasty. 2014 Apr;29(4):786-91
pubmed: 24290738
Orthop Traumatol Surg Res. 2016 Feb;102(1 Suppl):S9-20
pubmed: 26797005
J Arthroplasty. 2015 Sep;30(9 Suppl):102-6
pubmed: 26105615
J Arthroplasty. 2014 Aug;29(8):1661-5
pubmed: 24857334
Arch Orthop Trauma Surg. 2017 Nov;137(11):1579-1585
pubmed: 28905107
J Arthroplasty. 2018 Sep;33(9):2927-2931
pubmed: 29853308
Gait Posture. 2020 Mar;77:276-282
pubmed: 32097887
Orthopedics. 2015 Nov;38(11):e970-5
pubmed: 26558676
Maturitas. 2013 Jul;75(3):221-6
pubmed: 23693138
Acta Orthop. 2014 Apr;85(2):123-7
pubmed: 24564749
Clin Orthop Relat Res. 2014 Dec;472(12):3953-62
pubmed: 25238804
Acta Orthop. 2016 Feb;87(1):36-41
pubmed: 26471772
Expert Rev Med Devices. 2016;13(1):47-56
pubmed: 26592900
Arch Orthop Trauma Surg. 2022 Feb;142(2):323-329
pubmed: 33929597
J Arthroplasty. 2022 Aug;37(8):1602-1605.e3
pubmed: 35314287
Clin Orthop Relat Res. 2006 Dec;453:272-6
pubmed: 17006364
J Am Acad Orthop Surg. 2022 Feb 1;30(3):100-103
pubmed: 35772088
J Arthroplasty. 2017 Jan;32(1):131-138
pubmed: 27369300
J Coll Physicians Surg Pak. 2017 Oct;27(10):642-644
pubmed: 29056127
Mil Med. 2022 Jan 4;187(1-2):e11-e16
pubmed: 33231690
Lancet. 2007 Oct 27;370(9597):1508-19
pubmed: 17964352
Hip Int. 2020 Jan;30(1):40-47
pubmed: 31387397
Ann R Coll Surg Engl. 2011 Sep;93(6):465-9
pubmed: 21929917
Orthopedics. 2015 May;38(5):e380-6
pubmed: 25970364
Orthop Traumatol Surg Res. 2009 May;95(3):210-9
pubmed: 19423418
J Arthroplasty. 2015 Sep;30(9):1561-4
pubmed: 25913560
J Arthroplasty. 2014 Feb;29(2):377-82
pubmed: 23958234
Clin Orthop Relat Res. 2014 Jun;472(6):1877-85
pubmed: 24549773
Clin Orthop Relat Res. 2006 Oct;451:154-60
pubmed: 16936587
J Bone Joint Surg Am. 1978 Mar;60(2):217-20
pubmed: 641088
Int Orthop. 2017 Nov;41(11):2245-2252
pubmed: 28439629
Int Orthop. 2016 Jan;40(1):21-7
pubmed: 25957590
Clin Orthop Relat Res. 2009 Jan;467(1):32-42
pubmed: 18979147
J Clin Med. 2021 May 21;10(11):
pubmed: 34064295
Clin Orthop Relat Res. 2001 Jul;(388):135-42
pubmed: 11451112
Sci Rep. 2020 Apr 28;10(1):7107
pubmed: 32345993
Hip Int. 2017 Nov 21;27(6):573-577
pubmed: 28731487
Mod Rheumatol. 2015 Jul;25(4):630-6
pubmed: 25528862
J Orthop Surg (Hong Kong). 2022 Jan-Apr;30(1):23094990221074758
pubmed: 35302412
J Bone Joint Surg Am. 2001 Apr;83(4):589-92
pubmed: 11315791
Orthop Surg. 2017 May;9(2):186-190
pubmed: 28557297
Orthop Surg. 2021 May;13(3):786-790
pubmed: 33709496
Gait Posture. 2016 Sep;49:196-201
pubmed: 27450670
Clin Orthop Relat Res. 2014 Jan;472(1):329-36
pubmed: 23990446