Early Clinical and Radiographic Results of Minimally Invasive Anterior Approach Hip Arthroplasty

Alexandrov, Tamara; Ahlmann, Elke R.; Menendez, Lawrence R.

doi:10.1155/2014/954208

Cited by 27 publications

(22 citation statements)

References 45 publications

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“…There is some evidence that the risk of intraoperative periprosthetic fracture is elevated with MIS approaches for elective THA. [80,81] However, the present study demonstrated an incidence of 1.4%, which is lower than the 2.95-10.6% reported in other large series. [82][83][84][85] The three intraoperative fractures in the present series were all treated successfully using cerclage cables inserted through a smaller secondary incision without compromising the short external rotators.…”

Section: Discussioncontrasting

confidence: 75%

Two Year Average Follow Up of Supercapsular Percutaneously Assisted Total Hip Arthroplasty; Zero Dislocations

Kay¹,

Klavas²,

Haghshenas³

et al. 2020

Preprint

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BACKGROUNDDislocation after primary total hip arthroplasty (THA) has an incidence of 2-3. Approximately 77% of dislocations occur within the first year after surgery. The SuperPATH technique is a minimally invasive approach for THA that preserves soft tissue attachments. The purpose of this study is to describe the dislocation rate at one year after SuperPATH primary THA. METHODSAll elective primary THAs performed by the senior author using the SuperPATH approach. Exclusion criteria were acute femoral neck fracture, revision surgery, or malignancy. There were 214 of 279 eligible patients available for telephone interviews (76.7%). Medical records were reviewed for secondary outcomes including early and late complications, cup positioning, distance ambulated on postoperative day one, discharge destination, and blood transfusions. RESULTSMean age at surgery was 64 ± 10.8 years and mean time to telephone follow up was 773 ± 269.7 days. There were 104 female and 110 male patients. There were zero dislocations reported. Blood transfusions were performed in 3.7% of patients, and 75.7% were discharged to home at an average of 2.3 ± 1.0 days. Cup position averaged 43.6 ± 5.2° abduction and 20.9 ± 6.2° anteversion, with an average leg length discrepancy of 3.6 ± 3.32mm. Complications included three intraoperative calcar fractures, one periprosthetic femur fracture, one early femoral revision, three superficial infections, and one instance of wound necrosis.CONCLUSIONSuperPATH approach is safe for use in primary THA resulting in a low dislocation rate.

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Section: Discussioncontrasting

confidence: 75%

Two Year Average Follow Up of Supercapsular Percutaneously Assisted Total Hip Arthroplasty; Zero Dislocations

Kay¹,

Klavas²,

Haghshenas³

et al. 2020

Preprint

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show abstract

“…Intraoperative periprosthetic fracture with press-fit implants is an inherent risk when operating on patients with a fragility fracture. There is some evidence that this risk may be elevated with MIS approaches for elective THA [40] , [41] as well as for femoral neck fractures [29] , [42] , [43] , [46] . In our series, there are 4 of 37 cases (10.1%) with intraoperative nondisplaced calcar fracture managed successfully with cerclage cabling.…”

Section: Discussionmentioning

confidence: 99%

Early results of displaced femoral neck fragility fractures treated with supercapsular percutaneous-assisted total hip arthroplasty

et al. 2019

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Background Total hip arthroplasty (THA) is the preferred treatment for displaced femoral neck fractures in select patients, although dislocation remains a concern. In some studies, the supercapsular percutaneously assisted (SuperPATH) approach has demonstrated early mobilization, short hospital stay, and low dislocation rates in primary THA, but there are little data on its use for fractures. This study describes the perioperative outcomes and early dislocation rate of SuperPATH THA for displaced femoral neck fragility fractures. Methods A retrospective review was performed of previous ambulatory patients with a displaced femoral neck fragility fracture treated with THA using the SuperPATH approach. Demographic data, time to ambulation, length of stay, and in-hospital complications during the hospital stay and follow-up period were recorded. Phone interviews were conducted to check for dislocations 1 year after surgery. Results Thirty-seven consecutive patients were included with an average age of 75.0 years. Hospital stay averaged 5.5 days, and patients were discharged on average postoperative day 3.6. About 83.8% of patients were ambulatory by postoperative day 1, and 94.6% ambulatory before discharge. Twenty-seven percent of patients were discharged home, 46% to inpatient rehabilitation, 24% to skilled nursing facility, and 1 patient to hospice. At follow-up, there was no symptomatic heterotopic ossification and no infections. Thirty-two patients were available for telephone interviews at 1 year, with no dislocations reported. Conclusions In this small cohort, the SuperPATH approach for THA appears to be safe and effective for use in femoral neck fragility fractures, resulting in early ambulation and a low dislocation rate.

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“…In 17 [7,11,12,14,[23][24][25][26][27][28][29][30][31][32][33][34][35] of the 38 studies, the authors noted that outcome data were derived from the first patient series for which the DAA was used. Therefore, a learning curve may have been present.…”

Section: Surgeon's Learning Curvementioning

confidence: 99%

Adverse effects associated with the direct anterior approach for total hip arthroplasty: a Bayesian meta-analysis

Geest

Fennema²,

Lenaerts³

et al. 2015

Arch Orthop Trauma Surg

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Early Clinical and Radiographic Results of Minimally Invasive Anterior Approach Hip Arthroplasty

Cited by 27 publications

References 45 publications

Two Year Average Follow Up of Supercapsular Percutaneously Assisted Total Hip Arthroplasty; Zero Dislocations

Two Year Average Follow Up of Supercapsular Percutaneously Assisted Total Hip Arthroplasty; Zero Dislocations

Early results of displaced femoral neck fragility fractures treated with supercapsular percutaneous-assisted total hip arthroplasty

Adverse effects associated with the direct anterior approach for total hip arthroplasty: a Bayesian meta-analysis

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