Perioperative complication rate of one-stage bilateral total hip arthroplasty using the direct anterior approach

2016 ◽  
Vol 21 (5) ◽  
pp. 658-661 ◽  
Author(s):  
Tatsuya Tamaki ◽  
Kazuhiro Oinuma ◽  
Yoko Miura ◽  
Hidetaka Higashi ◽  
Ryutaku Kaneyama ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Complication Rate ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
One Stage ◽  
Perioperative Complication

scholarly journals Perioperative strategies to reduce transfusion rates in one-stage bilateral total hip arthroplasty via direct anterior approach

2021 ◽  
Vol 23 ◽  
pp. 118-122
Author(s):  
John Attenello ◽  
Samantha Andrews ◽  
Scott Nishioka ◽  
Kristin Mathews ◽  
Cass Nakasone
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Total Hip ◽  
One Stage

The Surgeon Mentor Program: Outcomes of Total Hip Arthroplasty via the Direct Anterior Approach

2021 ◽  
Author(s):  
Melinda Jiang ◽  
Mark Inglis ◽  
David Morris ◽  
Nathan Eardley-Harris ◽  
Christopher J. Wilson
Keyword(s):  
Total Hip Arthroplasty ◽  
Length Of Stay ◽  
Learning Curve ◽  
Hip Arthroplasty ◽  
Complication Rate ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Initial Increase ◽  
Mentoring Program ◽  
Total Hip

AbstractThe direct anterior approach (DAA) for total hip arthroplasty has been increasing in popularity due to potential benefits including less pain, faster recovery, decreased risk of dislocation, and a reduced length of stay. The DAA has been described by many to have a steep learning curve owing to its greater risk of complications when first using the approach. The primary aim of this study was to design and implement a specific surgeon mentor program in an attempt to reduce the learning curve of the DAA. Surgeons completed the surgical education and mentoring program designed to reduce the initial increase in complication rate when first learning the DAA in a public hospital setting. A retrospective review of clinical and radiological outcomes on the first 67 cases was then conducted. Of these, 43 cases were eligible for inclusion. The 43 patients in this study had a mean age of 66.7, BMI of 26.7, and 57% of them were female. Follow-up was between 39 and 49 months, with a mean of 46 months. There were no fractures, dislocations, or blood transfusions. One patient required revision for deep infection. The mean length of stay was 2.81 days. At 6 weeks postoperative, 86% were independently mobile, 9.3% were using a cane, and 4.7% were being weaned off a walker. The radiological assessments found a mean cup abduction of 39.9 ± 5.1 degrees, mean femoral offset of 1.6 ± 5.5 mm, and a total hip offset of 1.3 ± 7 mm greater than the contralateral hip. Patients had a mean leg length discrepancy of −0.9 ± 5.9 mm. In conclusion, a surgeon mentoring program was designed and implemented to reduce the learning curve of the DAA in our center, with satisfactory 3-year clinical and radiological outcomes achieved. This study provides preliminary support for the potential utility of the mentoring program in facilitating other centers in safely introducing the DAA into their practice without an initial increase in complication rate.

scholarly journals Direct Anterior Approach for One-Stage Bilateral Total Hip Arthroplasty in an ASA 3 Wheelchair-Dependent Woman

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
B. (Britt) Barvelink ◽  
J. T. (Arjan) Hooghof ◽  
R. B. G. (Roy) Brokelman
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Perioperative Complications ◽  
Early Mobilization ◽  
Direct Anterior Approach ◽  
Contralateral Side ◽  
Total Hip ◽  
One Stage ◽  
Superior Approach

This case report involves a 79-year-old wheelchair-dependent woman with bilateral destructive coxarthrosis, requiring total hip arthroplasty (THA). Mobilization and transfers were unbearable due to the bilateral involvement of her hips. Performing unilateral THA would not be sufficient due to the coexisting pain from the contralateral side. Therefore, the decision was made to perform bilateral THA in one stage using the direct anterior approach (DAA). One-stage bilateral THA (1-SBTHA) using the DAA in ASA 3 patients is not previously described in the literature. The procedure was completed as planned, without any major perioperative complications. Eight weeks postoperatively, the patient was able to mobilize unaccompanied using a walker. She regained her mobility and independence. This outcome suggests that 1-SBTHA using DAA can be considered for disabling coxarthrosis in carefully selected ASA 3 patients. DAA is the superior approach for 1-SBTHA, due to decreased muscle damage leading to early mobilization with improved gait. Another benefit of DAA is that both hips can be draped simultaneously without repositioning the patient during the procedure.

scholarly journals Repair of Symptomatic Partial Gluteus Medius Tear During Total Hip Arthroplasty Through the Direct Anterior Approach

2021 ◽  
Vol 10 (2) ◽  
pp. e575-e580
Author(s):  
David R. Maldonado ◽  
Samantha C. Diulus ◽  
Mitchell B. Meghpara ◽  
Rachel M. Glein ◽  
Hari K. Ankem ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Gluteus Medius ◽  
Direct Anterior Approach ◽  
Total Hip
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