Dislocation After Total Hip Arthroplasty: A Randomized Clinical Trial of a Posterior Approach and a Modified Lateral Approach

2012 ◽  
Vol 27 (3) ◽  
pp. 378-385 ◽  
Author(s):  
Hyung-Min Ji ◽  
Ki-Choul Kim ◽  
Young-Kyun Lee ◽  
Yong-Chan Ha ◽  
Kyung-Hoi Koo
Keyword(s):  
Clinical Trial ◽  
Total Hip Arthroplasty ◽  
Randomized Clinical Trial ◽  
Hip Arthroplasty ◽  
Posterior Approach ◽  
Lateral Approach ◽  
Total Hip

scholarly journals Direct anterior versus posterior approach for total hip arthroplasty: a multicentre, prospective, randomized clinical trial

2020 ◽  
Vol 63 (5) ◽  
pp. E412-E417 ◽  
Author(s):  
Kevin Moerenhout ◽  
Pascale Derome ◽  
G. Yves Laflamme ◽  
Stéphane Leduc ◽  
Henry S. Gaspard ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Total Hip Arthroplasty ◽  
Randomized Clinical Trial ◽  
Hip Arthroplasty ◽  
Posterior Approach ◽  
Prospective Randomized Clinical Trial ◽  
Total Hip

scholarly journals Abductor Muscle Force after Straight-Stem Compared to Short-Stem Total Hip Arthroplasty through a Modified Direct Lateral Approach: Functional Assessment of 70 Consecutive Patients of a Randomized Controlled Clinical Trial

2021 ◽  
Vol 10 (6) ◽  
pp. 1235
Author(s):  
Michael Fuchs ◽  
Marie-Anne Hein ◽  
Martin Faschingbauer ◽  
Mirco Sgroi ◽  
Ralf Bieger ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Muscle Strength ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Lateral Approach ◽  
Short Stem ◽  
Abductor Muscle ◽  
Total Hip ◽  
Straight Stem ◽  
Direct Lateral Approach

Because of preservation of proximal femoral bone stock and minimized soft tissue trauma, short-stem implants are becoming increasingly important in total hip arthroplasty (THA). The postulated advantage regarding the functional outcome has not been verified. We hypothesized an increased abductor muscle strength by the use of a short-stem design. Seventy consecutive patients of a randomized clinical trial were included. Of these, 67 patients met the inclusion criteria after 12 months. Thirty-five patients received a standard straight stem and 32 patients a short-stem femoral component. All surgeries were performed by a modified direct lateral approach. Isometric muscle strength of the hip abductors was evaluated preoperatively 3 and 12 months after surgery. Harris hip score (HHS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were evaluated. After three months, there were no differences between the two groups; the abductor force was comparable to the preoperative initial values. After 12 months, a significant increase in muscle strength for the short stem patient group compared to preoperative baseline values was measured (straight-stem THA, 0.09 Nm/kg ± 0.4, p = 0.32; short-stem THA, 0.2 Nm/kg ± 0.3, p = 0.004). Comparison of the 12-month postoperative total HHS and WOMAC revealed no significant differences between both groups. A significant increase in hip abductor muscle strength 12 months after short-stem THA compared to conventional-stem THA was observed.

A randomized clinical trial comparing six techniques of postoperative analgesia for elective total hip arthroplasty under subarachnoid anesthesia with opioids

2021 ◽  
Vol 87 (6) ◽  
Author(s):  
José R. ORTIZ-GÓMEZ ◽  
Marta PEREPÉREZ-CANDEL ◽  
Arantxa PAVÓN-BENITO ◽  
Berta TORRÓN-ABAD ◽  
María DORRONSORO-AUZMENDI ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Total Hip Arthroplasty ◽  
Randomized Clinical Trial ◽  
Hip Arthroplasty ◽  
Postoperative Analgesia ◽  
Total Hip

scholarly journals Randomized clinical trial of dexketoprofen/tramadol 25 mg/75 mg in moderate-to-severe pain after total hip arthroplasty

2016 ◽  
Vol 116 (2) ◽  
pp. 269-276 ◽  
Author(s):  
H.J. McQuay ◽  
R.A. Moore ◽  
A. Berta ◽  
O. Gainutdinovs ◽  
B. Fülesdi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Total Hip Arthroplasty ◽  
Randomized Clinical Trial ◽  
Hip Arthroplasty ◽  
Severe Pain ◽  
Total Hip

scholarly journals Rehabilitation following total hip arthroplasty evaluation over short follow-up time: Randomized clinical trial

2014 ◽  
Vol 51 (10) ◽  
pp. 1567-1578 ◽  
Author(s):  
Carolina Sant’anna Umpierres ◽  
Tiango Aguiar Ribeiro ◽  
Ângela Elisabete Marchisio ◽  
Lívia Galvão ◽  
Íngrid Nemitz Krás Borges ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Total Hip Arthroplasty ◽  
Randomized Clinical Trial ◽  
Hip Arthroplasty ◽  
Total Hip

scholarly journals A Modified Direct Lateral Approach in Total Hip Arthroplasty

2002 ◽  
Vol 10 (1) ◽  
pp. 35-39 ◽  
Author(s):  
V.S. Pai
Keyword(s):  
Total Hip Arthroplasty ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Posterior Approach ◽  
Lateral Approach ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Total Hip ◽  
Direct Lateral Approach

A modified lateral approach of Hardinge allows adequate access for orientation of the implant was described. Although this approach is more difficult than the posterior approach, there is a learning curve, when mastered, it'll definitely reduce the incidence of dislocation. In the Author's opinion, this approach should be used routinely for total hip arthroplasty for fractured neck of femur where the incidence of dislocation is unacceptably high using the posterior approach.

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