Yıl: 2023 Cilt: 30 Sayı: 5 Sayfa Aralığı: 563 - 568 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2023.01.013 İndeks Tarihi: 06-06-2023

Our results of total hip artroplasty with anterolateral approach

Öz:
Aim: It was aimed to compare the clinical and radiological results of total hip arthroplasty performed with the anterolateral approach with the literature. Materials and Methods: 65 patients who underwent total hip arthroplasty with anterolateral approach between 2016-2021 were included. Preoperative and postoperative functional status evaluations of the patients were performed using the Harris hip score. In the clinical evaluation of the patients, thigh pain, wound infection, length of hospital stay, body mass index, duration of surgery and complications were also evaluated. In the radiological evaluation, the acetabular and femoral relaxation zones, the presence and amount of vertical and horizontal migration of the acetabular component, the presence and amount of femoral vertical migration, the position of the femoral component, the femoral dorr classification, the angle of inclination of the acetabular component and the presence of heterotrophic ossification were examined. Results: Of the patients, 29 (44.6%) were male and 36 (55.4%) were female. The mean age of the patients was 61.65 and the mean follow-up period was 40.2 months. Considering the diagnoses of the patients, THA was applied to 51 (70.8%) patients for coxarthrosis, 14 (19.4%) for avascular necrosis, 5 (6.9%) patients for fractures, and 2 (2.8%) patients for septic arthritis. The mean preoperative Harris Hip Score of the patients was 34.2 (18.1-59.9). The mean postoperative Harris Hip score was 88.5 (68.8-96). When the postoperative Harris Hip Score of the patients was evaluated, 53 (73.6%) were evaluated as excellent results, 18 (25%) as perfect results, and 1 (1.4%) as good results. Conclusion: In our study, the results of total hip arthroplasty performed with the anterolateral approach were successful and satisfactory surgery when performed with appropriate indications and planning.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Sutphen SA, Berend KR, Morris MJ, Lombardi Jr A V. Direct Anterior Approach Has Lower Deep Infection Frequency Than Less Invasive Direct Lateral Approach in Primary Total Hip Arthroplasty. Journal of Surgical Orthopaedic Advances. 2018;27(1):21–4.
  • 2. Graves SC, Dropkin BM, Keeney BJ, Lurie JD, Tomek IM. Does surgical approach affect patient-reported function after primary THA? Clinical Orthopaedics and Related Research®. 2016;474(4):971–81.
  • 3. Demos HA, Rorabeck CH, Bourne RB, MacDonald SJ, McCalden RW. Instability in primary total hip arthroplasty with the direct lateral approach. Clinical Orthopaedics and Related Research®. 2001;393:168–80.
  • 4. Malek IA, Royce G, Bhatti SU, Whittaker JP, Phillips SP, Wilson IRB, et al. A comparison between the direct anterior and posterior approaches for total hip arthroplasty: the role
  • 5. Laffosse J, Chiron P, Accadbled F, Molinier F, Tricoire J, Puget J. Learning curve for a modified Watson-Jones minimally invasive approach in primary total hip replacement: analysis of complications and early results versus the standard-incision posterior approach. Acta orthopaedica belgica. 2006;72(6):693.
  • 6. Gore DR, Murray MP, Sepic SB, Gardner GM. Anterolateral compared to posterior approach in total hip arthroplasty: differences in component positioning, hip strength, and hip motion. Clinical Orthopaedics and Related Research. 1982;(165):180–7.
  • 7. Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978;60(2):217–20.
  • 8. Tripuraneni KR, Munson NR, Archibeck MJ, Carothers JT. Acetabular abduction and dislocations in direct anterior vs posterior total hip arthroplasty: a retrospective, matched cohort study. The Journal of Arthroplasty. 2016;31(10):2299–302.
  • 9. Leucht P, Huddleston HG, Bellino MJ, Huddleston JI. Does intraoperative fluoroscopy optimize limb length and the precision of acetabular positioning in primary THA? Orthopedics. 2015;38(5):e380–6.
  • 10. Rathod PA, Bhalla S, Deshmukh AJ, Rodriguez JA. Does fluoroscopy with anterior hip arthoplasty decrease acetabular cup variability compared with a nonguided posterior approach? Clinical Orthopaedics and Related Research®. 2014;472(6):1877–85.
  • 11. Migliorini F, Eschweiler J, Trivellas A, Rath B, Driessen A, Tingart M, et al. Implant positioning among the surgical approaches for total hip arthroplasty: a Bayesian network metaanalysis. Archives of Orthopaedic and Trauma Surgery. 2020 Aug 1;140(8):1115–24.
  • 12. Davis WR, Porteous M. JOINT REPLACEMENT IN THE OVERWEIGHT PATIENT. A LOGICAL APPROACH OR NEW FORM OF RATIONING? In: Orthopaedic Proceedings. The British Editorial Society of Bone & Joint Surgery; 2008. p. 536.
  • 13. Horan F. Obesity and joint replacement. Vol. 88, The Journal of Bone and Joint Surgery. British volume. The British Editorial Society of Bone and Joint Surgery; 2006. p. 1269–71.
  • 14. Davis AM, Wood AM, Keenan ACM, Brenkel IJ, Ballantyne JA. Does body mass index affect clinical outcome post-operatively and at five years after primary unilateral total hip replacement performed for osteoarthritis? A multivariate analysis of prospective data. The Journal of Bone and Joint Surgery British Volume. 2011;93(9):1178–82.
  • 15. Guenther D, Schmidl S, Klatte TO, Widhalm HK, Omar M, Krettek C, et al. Overweight and obesity in hip and knee arthroplasty: evaluation of 6078 cases. World journal of orthopedics. 2015;6(1):137.
  • 16. Stickles B, Phillips L, Brox WT, Owens B, Lanzer WL. Defining the relationship between obesity and total joint arthroplasty. Obesity research. 2001;9(3):219–23.
  • 17. Akram F, Kunze KN, Kerzner B, Gonzalez A, Palacios A, Levine BR. Mid-term survivorship, performance, and predictors of outcome in primary total hip arthroplasty with a porous tantalum femoral prosthesis. The Journal of Arthroplasty. 2021;36(5):1688–94.
  • 18. Kutzner KP, Kovacevic MP, Freitag T, Fuchs A, Reichel H, Bieger R. Influence of patient-related characteristics on early migration in calcar-guided short-stem total hip arthroplasty: a 2-year migration analysis using EBRA-FCA. Journal of Orthopaedic Surgery and Research. 2016;11(1):1–9.
  • 19. Grant TW, Lovro LR, Licini DJ, Warth LC, Ziemba-Davis M, Meneghini RM. Cementless tapered wedge femoral stems decrease subsidence in obese patients compared to traditional fitand-fill stems. The Journal of Arthroplasty. 2017;32(3):891–7.
  • 20. Elson LC, Barr CJ, Chandran SE, Hansen VJ, Malchau H, Kwon Y-M. Are morbidly obese patients undergoing total hip arthroplasty at an increased risk for component malpositioning? The Journal of Arthroplasty. 2013;28(8):41–4.
  • 21. Narayanan R, Elbuluk AM, Chen KK, Eftekhary N, Zuckerman JD, Deshmukh AJ. Does femoral morphology and stem alignment influence outcomes of cementless total hip arthroplasty with proximally coated double-tapered titanium stems? HIP International. 2021;31(3):354–61.
  • 22. Syed F, Hussein A, Katam K, Saunders P, Young SK, Faisal M. Risk of subsidence and peri-prosthetic fractures using collared hydroxyapatite-coated stem for hip arthroplasty in the elderly. HIP International. 2018;28(6):663–7.
  • 23. Dorr LD, Faugere M-C, Mackel AM, Gruen TA, Bognar B, Malluche HH. Structural and cellular assessment of bone quality of proximal femur. Bone. 1993;14(3):231–42.
  • 24. Takaoka Y, Goto K, Kuroda Y, Kawai T, Matsuda S. The longterm results of total hip arthroplasty with a cemented β-titanium stem. The Journal of Arthroplasty. 2020;35(8):2167–72.
  • 25. White CA, Carsen S, Rasuli K, Feibel RJ, Kim PR, Beaulé PE. High incidence of migration with poor initial fixation of the Accolade® stem. Clinical Orthopaedics and Related Research®. 2012;470(2):410–7.
  • 26. Jonkers I, Sauwen N, Lenaerts G, Mulier M, Van der Perre G, Jaecques S. Relation between subject-specific hip joint loading, stress distribution in the proximal femur and bone mineral density changes after total hip replacement. Journal of biomechanics. 2008;41(16):3405–13.
  • 27. Kang JS, Ko SH, Na Y, Youn YH. Clinical and radiological outcomes of rectangular tapered cementless stem according to proximal femoral geometry in elderly Asian patients. Hip & Pelvis. 2019;31(4):224–31.
  • 28. Kinov P, Radl R, Zacherl M, Leithner A, Windhager R. Correlation between thigh pain and radiological findings with a proximally porous-coated stem. Acta Orthopædica Belgica. 2007;73(5):618.
  • 29. Gill IR, Gill K, Jayasekera N, Miller J. Medium term results of the collum femoris preserving hydroxyapatite coated total hip replacement. Hip International. 2008;18(2):75–80.
  • 30. Sevimli R, Özdemir E,. Short and mid-term clinical and radiological results in ligament- cutting total knee arthroplasty Annals Medical Resarch , 2022; 2:25-28.
  • 31. Eggli S, Woo A. Risk factors for heterotopic ossification in total hip arthroplasty. Archives of orthopaedic and trauma surgery. 2001;121(9):531–5.
  • 32. Hürlimann M, Schiapparelli F-F, Rotigliano N, Testa E, Amsler F, Hirschmann MT. Influence of surgical approach on heterotopic ossification after total hip arthroplasty–is minimal invasive better? A case control study. BMC Musculoskeletal Disorders. 2017;18(1):1–9.
  • 33. Morrey BF, Adams RA, Cabanela ME. Comparison of heterotopic bone after anterolateral, transtrochanteric, and posterior approaches for total hip arthroplasty. Clinical orthopaedics and related research. 1984;(188):160–7.
  • 34. Sell S, Willms R, Jany R, Esenwein S, Gaissmaier C, Martini F, et al. The suppression of heterotopic ossifications: radiation versus NSAID therapy—a prospective study. The Journal of arthroplasty. 1998;13(8):854–9.
  • 35. Sevimli R, Bilal Ö. Femur Boyun Kırıklarının Tedavisinde Proksimal Femoral Nail Uygulamalarımız Van Tıp Dergisi 20 (4), 207-211.
  • 36. Fijn R, Koorevaar RT, Brouwers JRBJ. Prevention of heterotopic ossification after total hip replacement with NSAIDs. Pharmacy World and Science. 2003;25(4):138–45.
  • 37. Kong X, Grau L, Ong A, Yang C, Chai W. Adopting the direct anterior approach: experience and learning curve in a Chinese patient population. Journal of Orthopaedic Surgery and Research. 2019;14(1):1–7.
APA Gündüz E, Sevimli D, köse h (2023). Our results of total hip artroplasty with anterolateral approach. , 563 - 568. 10.5455/annalsmedres.2023.01.013
Chicago Gündüz Enes,Sevimli Doç. Dr. Reşit,köse harun Our results of total hip artroplasty with anterolateral approach. (2023): 563 - 568. 10.5455/annalsmedres.2023.01.013
MLA Gündüz Enes,Sevimli Doç. Dr. Reşit,köse harun Our results of total hip artroplasty with anterolateral approach. , 2023, ss.563 - 568. 10.5455/annalsmedres.2023.01.013
AMA Gündüz E,Sevimli D,köse h Our results of total hip artroplasty with anterolateral approach. . 2023; 563 - 568. 10.5455/annalsmedres.2023.01.013
Vancouver Gündüz E,Sevimli D,köse h Our results of total hip artroplasty with anterolateral approach. . 2023; 563 - 568. 10.5455/annalsmedres.2023.01.013
IEEE Gündüz E,Sevimli D,köse h "Our results of total hip artroplasty with anterolateral approach." , ss.563 - 568, 2023. 10.5455/annalsmedres.2023.01.013
ISNAD Gündüz, Enes vd. "Our results of total hip artroplasty with anterolateral approach". (2023), 563-568. https://doi.org/10.5455/annalsmedres.2023.01.013
APA Gündüz E, Sevimli D, köse h (2023). Our results of total hip artroplasty with anterolateral approach. Annals of Medical Research, 30(5), 563 - 568. 10.5455/annalsmedres.2023.01.013
Chicago Gündüz Enes,Sevimli Doç. Dr. Reşit,köse harun Our results of total hip artroplasty with anterolateral approach. Annals of Medical Research 30, no.5 (2023): 563 - 568. 10.5455/annalsmedres.2023.01.013
MLA Gündüz Enes,Sevimli Doç. Dr. Reşit,köse harun Our results of total hip artroplasty with anterolateral approach. Annals of Medical Research, vol.30, no.5, 2023, ss.563 - 568. 10.5455/annalsmedres.2023.01.013
AMA Gündüz E,Sevimli D,köse h Our results of total hip artroplasty with anterolateral approach. Annals of Medical Research. 2023; 30(5): 563 - 568. 10.5455/annalsmedres.2023.01.013
Vancouver Gündüz E,Sevimli D,köse h Our results of total hip artroplasty with anterolateral approach. Annals of Medical Research. 2023; 30(5): 563 - 568. 10.5455/annalsmedres.2023.01.013
IEEE Gündüz E,Sevimli D,köse h "Our results of total hip artroplasty with anterolateral approach." Annals of Medical Research, 30, ss.563 - 568, 2023. 10.5455/annalsmedres.2023.01.013
ISNAD Gündüz, Enes vd. "Our results of total hip artroplasty with anterolateral approach". Annals of Medical Research 30/5 (2023), 563-568. https://doi.org/10.5455/annalsmedres.2023.01.013