期刊
JOURNAL OF ARTHROPLASTY
卷 29, 期 9, 页码 169-172出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2014.03.051
关键词
primary total hip arthroplasty; direct anterior approach; posterior approach; outcomes; complications
类别
This study sought to prospectively examine the clinical and radiographic differences between direct anterior (DA-THA) and mini-posterior approach total hip arthroplasty (MPA-THA). Fifty-four patients were prospectively randomized to either MPA or DA-THA. Patient recorded diaries were collected. Radiographs were reviewed. SF-36, WOMAC and HHS scores were tabulated. Time to ambulation without any assistive device favored DA-THA (22 vs. 28 days, P = 0.04). Three week SF mental scores favored MPA-THA (60.66 vs. 58.43, P = 0.01). In a randomized prospective trial, patients undergoing DA-THA voluntarily quit use of all walking aids on average 6 days earlier than patients with a MPA-THA. Little additional clinical or radiographic benefit was seen between the cohorts. (C) 2014 Elsevier Inc. All rights reserved.
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