Total hip arthroplasty using a combined anterior and posterior approach via a lateral incision in patients with ankylosed hips

Li, Jian; Wang, Zhiwei; Li, Ming; Wu, Yuesong; Xu, Weidong; Wang, Zimin

doi:10.1503/cjs.000812

Cited by 11 publications

(9 citation statements)

References 21 publications

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“…For example, Li and colleagues reported in 2013 that out of 47 patients who underwent THA with a combined anterior and posterior approach through a single lateral incision, 13% developed HO. 12 Our results are most similar to those of Morrey et al's study considering that we also found no significant difference in the rate of HO based on surgical approach. Furthermore, our results somewhat corroborate Bischoff et al's results in that a posterior approach resulted in an overall lower average grade of ossification compared to the other approaches.…”

Section: Discussionsupporting

confidence: 91%

“…Studies have specifically shown distinct ossification rates based on anterior, lateral, and posterior approaches in patients undergoing THA. 1,3,12,13 However, no study to date has investigated the effect of operative approach on the development of HO in patients undergoing hemiarthroplasty. Therefore, it remains unknown whether hemiarthroplasty follows similar HO patterns as seen with THA based on surgical approach.…”

mentioning

confidence: 99%

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Heterotopic ossification after hemiarthroplasty of the hip – A comparison of three common approaches

Corrigan

Greenberg

Sathiyakumar

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionsupporting

confidence: 91%

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confidence: 99%

Heterotopic ossification after hemiarthroplasty of the hip – A comparison of three common approaches

Corrigan

Greenberg

Sathiyakumar

et al. 2015

Journal of Clinical Orthopaedics and Trauma

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“…Celiktas et al [11] considered that posterior approach has an advantage to palpate the sciatic nerve even without dissection, and also, it is easy to release the abductor muscles if necessary. Li et al [12] considered that anterolateral incision combined with the anterior-posterior approach could well expose the ankylosed hip joint and protect abduction function. This enabled patients to achieve good postoperative recovery.…”

Section: Discussionmentioning

confidence: 99%

The effects of total hip arthroplasty in treating hip bony fusion in young and middle-aged patients with ankylosing spondylitis

Guo¹,

Yang²,

Tang³

et al. 2019

J Orthop Surg Res

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Background This study aims to investigate the curative effects of total hip arthroplasty (THA) in treating hip bony fusion for young and middle-aged patients with ankylosing spondylitis (AS). Methods The clinical data of 26 young and middle-aged patients with AS (31 coxae), who were treated with THA and followed-up for more than 3 years in the period between February 1998 and May 2013, were retrospectively analyzed. Among these patients, 22 patients were male (25 coxae) and 4 patients were female (6 coxae). Patients’ age ranged within 19–50 years old, with an average of 31.5 years old. The intervals from arthroplasty to the occurrence of hip joint lesions caused by AS ranged within 2–26 years, with an average of 11.2 years. The average Harris score before the surgery was 19.0 ± 11.5 points. Results Femoral proximal cleavage fracture occurred in one coxa during the surgery and was fixed by the steel wire cerclage. Sciatic nerve traction injury occurred in one coxa after the surgery, which recovered after 6 months. Posterior hip dislocation occurred in one coxa and was immediately treated with manual reduction. All patients were followed-up, and follow-up duration ranged within 36–123 months, with an average of 46.5 months. In the last follow-up, the average Harris score was 87.1 ± 13.1 points, total passive range of motion was 215.0 ± 22.0°, and passive range of flexion was 90.8 ± 9.3°. All these indexes significantly increased compared with pretreatment ( P < 0.01). A periacetabular radiolucent line occurred in one coxa with a width of < 2 mm, and no femoral radiolucent line was found during follow-ups in any patient. Heterotopic ossification occurred in four coxae. Conclusion THA treatment for hip bony fusion caused by AS can achieve satisfactory hip function recovery and excellent prosthesis survival rate.

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“…Hip joint ankylosis could influence the extent of surgical exposure [ 5 ]. Contracture of muscle tissue and heterotopic ossification results in further trauma and difficulties during surgery, thereby limiting the choice of surgical approach [ 6 ]. In addition, the patient’s mobility is limited after unilateral hip arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Mid-term results of bilateral synchronous total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis

et al. 2021

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Background Total hip arthroplasty (THA) for bony ankylosis is technically challenging in patients with ankylosing spondylitis (AS). This study aimed to determine the mid-term results of bilateral synchronous THA for bony ankylosis in patients with AS. Methods Nineteen cases of bony ankylosis in patients with AS who received bilateral synchronous THA were included in this study (17 males and 2 females, mean age 49.2 years). Disease duration was 5–38 years (mean 18 years and 6 months). All patients received cementless THA. Intraoperative blood loss, visual analog scale (VAS) score, and complications were assessed. Harris hip scores evaluated the clinical effect. Results Patients were followed up for 62–98 months (mean 82.5 months). VAS score decreased from 7.42 ± 0.92 to 2.42 ± 0.83, Harris hip score improved from 21.8 ± 7.2 to 80.3 ± 6.5, and the flexion-extension range of the hip improved from 0 to 142.3 ± 6.2°. One patient with septum bronchiale had a fracture intraoperatively and was treated with wire strapping. One patient had a traction injury of the femoral nerve postoperatively and recovered 1 year after the operation. Loosening and subsidence were not observed in all patients. Heterotopic bone formation was noted in 3 patients. No complications such as joint dislocation, acute infection, and deep vein thrombosis were found. Conclusion Bilateral synchronous THA was effective for bony ankylosis of the hip in patients with AS because it improved patients’ quality of life and had satisfactory mid-term outcomes.

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Total hip arthroplasty using a combined anterior and posterior approach via a lateral incision in patients with ankylosed hips

Cited by 11 publications

References 21 publications

Heterotopic ossification after hemiarthroplasty of the hip – A comparison of three common approaches

Heterotopic ossification after hemiarthroplasty of the hip – A comparison of three common approaches

The effects of total hip arthroplasty in treating hip bony fusion in young and middle-aged patients with ankylosing spondylitis

Mid-term results of bilateral synchronous total hip arthroplasty for bony ankylosis in patients with ankylosing spondylitis

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