Comparison of tapered-wedge short and standard-length femoral stems in single-stage bilateral direct anterior total hip arthroplasty

Uçan, Vahdet; Ezici, Volkan; Aliyev, Orkhan; Uzer, Gökçer; Tuncay, İbrahim; Yıldız, Fatih

doi:10.1007/s00264-021-05152-9

Cited by 4 publications

(6 citation statements)

References 30 publications

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“…This explains why 45.20% of SimBDAA-THA procedures in our study involved a short-stem prosthesis, compared to only 17.90% of SimBPA-THA procedures (P < .001). No surgical complication occurred within 6 months in patients who underwent SimBDAA-THA involving either standard-or short-length stems, consistent with previous reports of similar clinical outcomes and survival between the two types of stems [42,45].…”

Section: Discussionsupporting

confidence: 88%

Comparison of Perioperative Outcomes and Early Complications Between a Direct Anterior Approach or Posterolateral Approach in Simultaneous Bilateral Total Hip Arthroplasty: A Retrospective Study

Chen

Sun

Wang

et al. 2023

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Controversies remain on the best surgical approaches for unilateral total hip arthroplasty (THA). There are little data on simultaneous bilateral THA via direct anterior approach (SimBDAA-THA) or posterolateral approach (SimBPA-THA). Purpose: We sought to assess differences in perioperative outcomes and early medical and surgical complications between SimBDAA-THA and SimBPA-THA. Methods: This retrospective study involved patients who underwent either SimBDAA-THA in a supine position (n = 73) or SimBPA-THA in a lateral position (n = 162) at our institution from January 2015 to November 2021. The 2 groups were compared in terms of clinical and demographic characteristics, surgical parameters, and complications during 6-months of follow-up. Results: There were no differences in clinical and demographic characteristics between the 2 groups prior to surgery. Simultaneous bilateral THA via direct anterior approach significantly shortened the length of both the operation (117.50 ±19.42 vs 143.97 ± 32.20 min) and the hospitalization (140.64 ± 43.22 vs 156.24 ± 56.64 h) but increased perioperative loss of hemoglobin (3.28 ± 1.01 vs 3.21 ± 2.26 g/dL). There were no significant differences between the two groups in transfusion rate; levels of interleukin-6, C-reactive protein or creatine kinase; or complications. Conclusion: This retrospective study of patients at a single institution found minimal differences in perioperative outcomes or early medical and surgical complications between SimBDAA-THA and SimBPA-THA except operative time and length of hospitalization. Larger studies with longer follow-up should be conducted to identify whether a direct anterior approach is superior to a posterolateral one.

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Section: Discussionsupporting

confidence: 88%

Comparison of Perioperative Outcomes and Early Complications Between a Direct Anterior Approach or Posterolateral Approach in Simultaneous Bilateral Total Hip Arthroplasty: A Retrospective Study

Chen

Sun

Wang

et al. 2023

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…Tamaki et al reported an increased incidence of fractures using short cementless stems inserted through the anterior approach [14]. Conversely, Uçan et al reported similar radiographic and functional outcomes between short and standard length of cementless femoral stems at short-term follow-up [15].…”

mentioning

confidence: 99%

Can We Predict Fracture When Using a Short Cementless Femoral Stem in the Anterior Approach?

McGoldrick

Cochran

Biniam

et al. 2022

The Journal of Arthroplasty

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“…During femoral marrow expansion, standard long stems are more prone to skin and proximal femoral soft-tissue injury than short wedge-shaped stems. This may be related to the higher elevation of the proximal femur required for longer stems [39]. In the present study, there were 6 cases (5.6%) of poor wound healing in the Corail group and no cases in the Tri-Lock BPS group, of which 4 patients were obese and 2 were diabetic.…”

Section: Discussionmentioning

confidence: 48%

“…In THA, VAS, HHS, and WOMAC scores are important indicators for evaluating hip function [40][41][42]. Vahdet et al [39] compared the VAS, HHS, and WOMAC scores of short vs standard stems in DAA-THA preoperatively vs 2 years postoperative follow-up and revealed no significant differences between the 2 groups. Guo et al [3] compared the VAS, HHS, and WOMAC scores of Tri-Lock BPS vs Corail stems in non-DAA-THA, preoperatively vs 4 years postoperatively, and also found no significant differences between the 2 groups.…”

Section: Discussionmentioning

confidence: 99%

“…Stress shielding, prosthesis subsidence, and osteolysis expedite aseptic loosening of the prosthesis and decrease long-term survival [48]. Vahdet et al [39] found no significant differences between short stems and standard stems, showing good outcomes in radiological indices at 2-year follow-up after DAA-THA. In contrast, Guo et al [3] showed that Tri-Lock BPS and Corail stems exhibited favorable outcomes in most radiological indices without significant differences at 4-year follow-up, but Tri-Lock BPS outperformed Corail stems in reducing bone loss around the stem while ensuring initial stability of the prosthesis [3].…”

Section: Discussionmentioning

confidence: 99%

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Tri-Lock Bone Preservation Stem Versus Conventional Corail Stem in Primary Total Hip Arthroplasty via Direct Anterior Approach: A Short-Term, Retrospective, Comparative Study

et al. 2023

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Background:The present study was performed to evaluate the clinical efficacy of Tri-Lock bone preservation stems vs conventional Corail stems in primary total hip arthroplasty via direct anterior approach. Material/Methods:In this retrospective analysis, patients receiving THA via DAA in a single-center hospital from January 2019 to March 2020 were assessed for eligibility and assigned to either a Tri-Lock BPS group or a Corail group based on the use of prostheses. Outcome measures for the efficiency evaluation of the 2 prostheses included perioperative outcomes, imaging results, Harris Hip Score, Western Ontario and McMaster University Osteoarthritis Index, and visual analog scale scores at 3, 6, 12, and 24 months postoperatively. Results: A total of 204 patients were included, including 98 patients (98 hips) in the Tri-Lock BPS group and 106 patients (106 hips) in the Corail group. Patients receiving Tri-Lock BPS exhibited better pain relief than those with Coral stems. Tri-Lock BPS had a higher safety profile vs Corail stems by significantly reducing the risk of complications (P=0.004). A markedly increased HHS score (84.42±16.27 vs 78.61±12.78, P=0.002) and a lower WOMAC score (25.08±15.39 vs 32.14±11.56, P=0.001) at 3 months postoperatively were observed in patients with Tri-Lock BPS vs those with Corail stems, indicating better restoration of hip function using Tri-Lock BPS. Conclusions:During total hip arthroplasty via DAA, Tri-Lock BPS causes a smaller surgical wound, reduces the operative time and intraoperative bleeding, and produces less soft-tissue damage vs Corail stems, providing great benefits in femoral prosthesis placement.

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Comparison of tapered-wedge short and standard-length femoral stems in single-stage bilateral direct anterior total hip arthroplasty

Cited by 4 publications

References 30 publications

Comparison of Perioperative Outcomes and Early Complications Between a Direct Anterior Approach or Posterolateral Approach in Simultaneous Bilateral Total Hip Arthroplasty: A Retrospective Study

Comparison of Perioperative Outcomes and Early Complications Between a Direct Anterior Approach or Posterolateral Approach in Simultaneous Bilateral Total Hip Arthroplasty: A Retrospective Study

Can We Predict Fracture When Using a Short Cementless Femoral Stem in the Anterior Approach?

Tri-Lock Bone Preservation Stem Versus Conventional Corail Stem in Primary Total Hip Arthroplasty via Direct Anterior Approach: A Short-Term, Retrospective, Comparative Study

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