期刊
JOURNAL OF ARTHROPLASTY
卷 30, 期 12, 页码 2296-2298出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2015.06.016
关键词
total hip arthroplasty; direct anterior; wound; obesity; complication
类别
资金
- Zimmer (Warsaw, IN, USA)
- Stryker (Mahwah, NJ, USA)
- DcPuy (Warsaw, IN, USA)
- Biomet (Warsaw, IN, USA)
We sought to identify patient and surgical risk factors for wound complication following direct anterior total hip arthroplasty (THA) and to compare these findings with a group of posterior approach patients. We retrospectively reviewed 716 direct anterior THAs performed by a single surgeon and 3040 posterior THAs from our institution performed from 2010 to 2014. Wound complications were noted in 1.7% of DA cases and 1.9% of posterior cases (P = 076). Obesity was a stronger risk factor for wound complication in DA patients (HR 4.3, P = 0.018) than in posterior approach patients (HR 1.4, P = 0.22). The increased risk of wound complication should be taken into consideration prior to direct anterior THA in obese patients. (C) 2015 Elsevier Inc. All rights reserved.
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