Scholarlink

Background <p>The direct anterior approach (DAA) to total hip arthroplasty (THA) has increased in popularity, given the potential for improved post-operative recovery. Patient selection is cited as a factor in complication rates compared to the posterior approach (PA). We compared complications by approach, controlling for relevant baseline characteristics.</p> Methods <p>This is a secondary data analysis from a prospective cohort patient study prescribed a smartphone-based care management platform following THA. Baseline patient characteristics were collected pre-operatively and included in logistic regression models investigating the impact of surgical approach with THA-related adverse events including intraoperative periprosthetic fracture, delayed wound healing, and revision surgery.</p> Results <p>In total, 1722 patients were included in analysis; 664 (37.4%) underwent THA via DAA. Pre-operative characteristics including age, HOOS JR, and sex were similar between approach groups, patients undergoing anterior THA had lower comorbidities (<i>p</i> = 0.04) and BMI (<i>p</i> = 0.015). Considering baseline characteristics, anterior approach was associated with reduced odds of revision (OR 0.37, 95%CI 0.12–0.90, <i>p</i> = 0.045). Delayed wound healing occurred more frequently in the anterior approach (OR 3.03, 95%CI 1.39–6.97, <i>p</i> = 0.006), and was associated with BMI (OR 1.10, 95% CI 1.04–1.17, <i>p</i> = 0.002).</p> Conclusions <p>This data demonstrated the DAA was associated with lower odds of revision and an increased risk of delayed wound healing. These must be considered when determining the surgical approach, particularly given the effects of BMI on wound healing.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Anterior total hip arthroplasty is associated with lower risk of revision but higher odds of delayed wound healing

  • 期刊论文

  • 发表日期：

    2025年4月1日

查看全文
  • Omar A. Sarhan,
  • Nareena Imam,
  • Harlan B. Levine,
  • Roberta E. Redfern,
  • Anna N. Ren,
  • Ari Douglas Seidenstein,
  • Gregg R. Klein

摘要

Background

The direct anterior approach (DAA) to total hip arthroplasty (THA) has increased in popularity, given the potential for improved post-operative recovery. Patient selection is cited as a factor in complication rates compared to the posterior approach (PA). We compared complications by approach, controlling for relevant baseline characteristics.

Methods

This is a secondary data analysis from a prospective cohort patient study prescribed a smartphone-based care management platform following THA. Baseline patient characteristics were collected pre-operatively and included in logistic regression models investigating the impact of surgical approach with THA-related adverse events including intraoperative periprosthetic fracture, delayed wound healing, and revision surgery.

Results

In total, 1722 patients were included in analysis; 664 (37.4%) underwent THA via DAA. Pre-operative characteristics including age, HOOS JR, and sex were similar between approach groups, patients undergoing anterior THA had lower comorbidities (p = 0.04) and BMI (p = 0.015). Considering baseline characteristics, anterior approach was associated with reduced odds of revision (OR 0.37, 95%CI 0.12–0.90, p = 0.045). Delayed wound healing occurred more frequently in the anterior approach (OR 3.03, 95%CI 1.39–6.97, p = 0.006), and was associated with BMI (OR 1.10, 95% CI 1.04–1.17, p = 0.002).

Conclusions

This data demonstrated the DAA was associated with lower odds of revision and an increased risk of delayed wound healing. These must be considered when determining the surgical approach, particularly given the effects of BMI on wound healing.