Total Hip Arthroplasty through Direct Anterior Approach in a Patient with Ipsilateral Knee Arthrodesis: A Case Report

Follet, Louis; Verhelst, Luk; Ghijselings, Stijn; Liekens, Koen

doi:10.13107/jocr.2023.v13.i01.3524

Cited by 1 publication

(1 citation statement)

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“…Furthermore, the femur anteversion is essential in THA stability and preventing impingement [ 54 , 55 ]. The anteverted acetabulum is in LA patients due to spinopelvic stiffness and hypo-lordosis of the spine, leading to loss of anterior pelvic tilting.…”

Section: Discussionmentioning

confidence: 99%

Superior outcomes of total hip arthroplasty without prior lumbar arthrodesis: a systematic review and meta-analysis

Giai Via,

Migliorini,

Bosco

et al. 2023

Eur J Orthop Surg Traumatol

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Purpose The number of patients undergoing total hip arthroplasty (THA) surgery after previous lumbar arthrodesis (LA) is rising. Literature suggests that LA may significantly impact pelvic biomechanics and potentially compromise the success of prosthetic hip replacement. This study aims to evaluate complication rates, dislocation rates, and revision rates in patients with prior LA undergoing THA surgery compared to those undergoing THA surgery without prior LA. Methods A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A PICOS template was developed to ensure a structured approach. The search for relevant studies was performed across five databases, including Pubmed, Scopus, Embase, Medline, and Cochrane. The selected articles were evaluated based on the Levels of Evidence (LoE) criteria. The Coleman Methodology Score (mCMS) was employed to analyze the retrospective studies. This systematic review and meta-analysis were registered in the International Prospective Register of Systematic Reviews (PROSPERO). For the outcomes that allowed for a meta-analysis performed using R software, a p < 0.05 was considered statistically significant. Results The final analysis included seventeen studies comprising a total of 3,139,164 cases of THA. Among these cases, 3,081,137 underwent THA surgery alone, while 58,027 patients underwent THA with a previous LA. The study investigated various factors, including dislocation rates, revision rates, and complication, as well as the surgical approach and type of implant used, for both the THA-only group and the group of patients who underwent THA with prior LA. The analysis revealed a statistically significant difference (p < 0.05) for all variables studied, favoring the group of patients who underwent THA alone without prior LA. Conclusions This systematic review and meta-analysis demonstrated a statistically significant superiority in all analyzed outcomes for patients who underwent THA-only without prior LA. Specifically, patients with isolated THA implants experienced significantly lower incidences of THA dislocation, wound complications, periprosthetic joint infection, revision, and mechanical complications. Level of evidence Level IV.

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Section: Discussionmentioning

confidence: 99%