Direct anterior approach or posterior approach in total hip arthroplasty

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چکیده

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Simultaneous Bilateral Anterior Approach Total Hip Arthroplasty.

Simultaneous bilateral total hip arthroplasty (THA) has been performed successfully, with good outcomes and low complication rates reported. Most published studies on the topic used anterolateral or posterior surgical approaches. The anterior approach is performed under live fluoroscopy with the patient supine, obviating the need for patient repositioning during bilateral surgery. The authors r...

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Direct anterior total hip arthroplasty.

The direct anterior approach to hip arthroplasty has become a popular technique. This technique, which was described almost 70 years ago, allows the surgeon to approach the hip through an internervous and intermuscular plane. Preliminary studies show that direct anterior hip arthroplasty may allow patients to recover faster with a lower dislocation rate. It is helpful to understand the history,...

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Magnetic Resonance Imaging Assessment of Hip Abductor after Total Hip Arthroplasty Using a Direct Lateral Approach

Background: Surgical techniques and rehabilitations after total hip arthroplasty (THA) play a significant role in theimprovement of pain and limping. This study aimed to assess hip abductor muscle’s diameter and its strength after 6months postoperative THA performed by Hardinge approach.Methods: After obtaining the patients’ demographic characteristics, the preoperative values...

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Direct anterior approach versus posterolateral approach in total hip arthroplasty : one surgeon, two approaches.

Early research shows several advantages of the Direct Anterior Approach (DAA) in total hip arthroplasty (THA), although no studies evaluated the DAA on a regular operating table without using fluoroscopy. We performed a retrospective cohort study on the outcome of this variation of the DAA compared with the posterolateral approach (PLA) with one year follow-up. All procedures were uncemented TH...

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Greater inadvertent muscle damage in direct anterior approach when compared with the direct superior approach for total hip arthroplasty.

AIMS We wished to quantify the extent of soft-tissue damage sustained during minimally invasive total hip arthroplasty through the direct anterior (DA) and direct superior (DS) approaches. MATERIALS AND METHODS In eight cadavers, the DA approach was performed on one side, and the DS approach on the other, a single brand of uncemented hip prosthesis was implanted by two surgeons, considered ex...

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ژورنال

عنوان ژورنال: Medicine

سال: 2020

ISSN: 0025-7974,1536-5964

DOI: 10.1097/md.0000000000022717