THE APPLICATION OF ANTERIOR ILIOFEMORAL APPROACH IN TOTAL HIP REPLACEMENT IN HUE UNIVERSITY HOSPITAL

2012 ◽  
pp. 90-97
Author(s):  
Nguyen Thai Bao Nguyen ◽  
Nghi Thanh Nhan Le
Keyword(s):  
Blood Transfusion ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
University Hospital ◽  
X Rays ◽  
Invasive Approach ◽  
Total Hip ◽  
Time Of Operation ◽  
Iliofemoral Approach

Background: Total hip replacement using mini-invasive approach including the anterior iliofemoral approach technique has become popular in Vietnam and all over the world in treating hip diseases. Including the anterior iliofemoral approach. This research is to assess the result of the total hip replacement using the anterior iliofemoral approach. Materials and method: A prospective study on 32 patients at Orthopaedics Deparment of Hue University Hospital that meet the criteria of selection. The outcome after 3 months and 6 months follow up is assessed using Charnley criteria. Surgical approach, surgical technique, blood transfusion, post operative complications, and postoperative X-Ray are also assessed on these patients. Results: Surgical incision length is 9.6±1.9cm. The lower and cross-legged techniques are applied on 100% patients. Average time of operation: 108.4 ± 12.4 minutes. 15.6% needs blood transfusion in and after operation. There are no complications during operation. Inicision superficial infection rate is 3.1%. Post operative X-Rays show good result. Average time of hospital stay: 12.1±8.1 days. 3 months follow up rate is 93.4%, 6 months rate is 50%. Charnley’s very good and good result after 3 moths is 73.3%, after 6 months is 75.0%. Conclusion: The total hip replacement using the anterior iliofemoral approach has more than 70.0% Charnley’s very good and good result after 3 months and 6 months follow up. There are no complications during operation. Time of operation and post operation are short. Incision gives good exposure for intraoperative manipulations.

scholarly journals A new anterolateral surgical approach for total hip replacement

Joints ◽  
2016 ◽  
Vol 04 (03) ◽  
pp. 148-152
Author(s):  
Giovanni Grano ◽  
Maria Pavlidou ◽  
Alberto Todesco ◽  
Augusto Palermo ◽  
Luigi Molfetta
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Case Series ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Anterolateral Approach ◽  
X Rays ◽  
Level Of Evidence ◽  
Total Hip

Purpose: the purpose of the present paper is to present the short-term results of a “detachment-free” (DF) anterolateral approach for primary total hip replacement (THR) performed in a large series of patients. Methods: two hundred patients submitted to primary THR were retrospectively reviewed for the present study. In all cases, the surgery was performed using a minimally invasive DF anterolateral approach, which entails no disconnection of tendons and no muscle damage. The study population consisted of 96 men (48%) and 104 women (52%), with an average age of 69.4 years (range 38-75). Clinical and radiographic follow-up was performed after 12 months. Results: the clinical results, evaluated using the Harris Hip Score, were excellent in 95% of the cases and good in 5%; no cases had fair or poor results. X-rays taken at 3, 6 and 12 months after surgery did not show heterotopic ossification, mobilization of the prosthetic components, or hip dislocation. No infections, deep vein thrombosis, or failure of the gluteal muscles were reported. Conclusions: the DF anterolateral approach for THR proved safe and provided effective results at shortterm follow-up. Level of evidence: Level IV, therapeutic case series.

scholarly journals Uncemented versus cemented arthroplasty after metal-on-metal total hip replacement in patients with femoral neck fractures: a retrospective study

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110122
Author(s):  
Wenlu Liu ◽  
Huanyi Lin ◽  
Xianshang Zeng ◽  
Meiji Chen ◽  
Weiwei Tang ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Clinical Outcomes ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femoral Neck Fractures ◽  
Harris Hip Score ◽  
Complication Rates ◽  
Total Hip ◽  
Metal On Metal

Objective To compare the clinical outcomes of primary metal-on-metal total hip replacement (MoM-TR) converted to uncemented total hip replacement (UTR) or cemented total hip replacement (CTR) in patients with femoral neck fractures (AO/OTA: 31B/C). Methods Patient data of 234 UTR or CTR revisions after primary MoM-TR failure from March 2007 to January 2018 were retrospectively identified. Clinical outcomes, including the Harris hip score (HHS) and key orthopaedic complications, were collected at 3, 6, and 12 months following conversion and every 12 months thereafter. Results The mean follow-up was 84.12 (67–100) months for UTR and 84.23 (66–101) months for CTR. At the last follow-up, the HHS was better in the CTR- than UTR-treated patients. Noteworthy dissimilarities were correspondingly detected in the key orthopaedic complication rates (16.1% for CTR vs. 47.4% for UTR). Statistically significant differences in specific orthopaedic complications were also detected in the re-revision rate (10.3% for UTR vs. 2.5% for CTR), prosthesis loosening rate (16.3% for UTR vs. 5.9% for CTR), and periprosthetic fracture rate (12.0% for UTR vs. 4.2% for CTR). Conclusion In the setting of revision of failed primary MoM-TR, CTR may demonstrate advantages over UTR in improving functional outcomes and reducing key orthopaedic complications.

scholarly journals Follow-up study of total hip replacement.

1989 ◽  
Vol 38 (2) ◽  
pp. 503-506
Author(s):  
Kenichi Aramaki ◽  
Mitsuru Takeshita ◽  
Kohji Kuroda ◽  
Akio Nakamura ◽  
Yuji Fukahori ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Follow Up Study

Patients on the waiting list for total hip replacement: a 1-year follow-up study

2008 ◽  
Vol 22 (4) ◽  
pp. 536-542 ◽  
Author(s):  
Margareta Bachrach-Lindström ◽  
Susanne Karlsson ◽  
Lars-Göran Pettersson ◽  
Torsten Johansson
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Waiting List ◽  
Total Hip ◽  
Follow Up Study

SHALL IT BE BETTER, AS AN APPROACH FOR THR, POSTERIORLY OR LATERALLY; A CLINICO-FUNCTIONAL AND GAIT ANALYTICAL OUTCOME ANALYSIS, IN A PROSPECTIVE STUDY, IN THE SOUTH-INDIAN POPULATION.

2021 ◽  
pp. 71-75
Author(s):  
Arun Kumar C ◽  
Ganashree S ◽  
Arivoli S ◽  
Aswath C A ◽  
Rakesh Kumar B ◽  
...  
Keyword(s):  
Prospective Study ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Posterior Approach ◽  
Lateral Approach ◽  
Harris Hip Score ◽  
South Indian Population ◽  
Total Hip ◽  
South Indian

Introduction: Hip resurfacing arthroplasty (HRA) or Total hip replacement (THR), as it is popularly called, attempts to mollify these basic clinical problems, in patients with a hip arthritic problem, which may be of a sequela to age-related degeneration, osteonecrosis, systemic disorder like Rheumatoid arthritis (RA) or Ankylosing spondylosis (AS) or as a result of trauma and or an old infection. The basic pathology, is an unfavourable and abrading hip diarthrodial joint. The endeavour of the study was, to establish the efcacy of the Posterior vs Lateral approach for THA/THR, by studying their outcomes in primary THR. This prospective study was undertaken at Che Materials And Methods: ttinad Hospital and Research Institute (CARE), Kelambakkam, Chengalpattu district, Tamilnadu, In the Department of Orthopaedics from Jan 2017 to Dec 2020 (48 months). The Functional outcome of hip surgery was measured using the Harris Hip Score, Oxford hip score and the WOMAC. Rivermead visual gait analysis (RVGA) method was used post-operatively to assess the gait. The Biomechanical outcomes of Abductor Gait Component, were individually assessed by EMG studies. The Harris Hip Score, The Oxford Hip S Results: core and WOMAC score, when the lateral approach was compared to the posterior approach pre-op and post-op in the 12 months minimum follow-up period, the laterally approached group faired better. The VAS score was equivocal. The comprehensive RVGA assessment also showed marginally better results for the laterally approached group as was the case with the Trendelenburg test score. The EMG studies for the Gluteus Maximus, Medius and the lateral rotators of hip also favoured the outcomes for the laterally approach hips. The supremacy of the Lateral Approach, ove Conclusion: r Posterior Approach, cannot be adjudged in a short-term follow-up study. It is thus opined that the Lateral Approach may be statistically and data wise superior, but the patient satisfaction, which is a major factor, is almost the same in both the approach groups. The follow-up needs to be atleast for a decade for us to be able to come to any meaningful conclusion. With regards to surgery like the Total hip replacement, which have a longevity factor exceeding 10 years, studies have to be followed up for periods in excess of 10 years.

scholarly journals The five-year follow-up study of Lord total hip replacement.

1990 ◽  
Vol 39 (1) ◽  
pp. 133-137
Author(s):  
Sakamichi Ikeda ◽  
Katsuro Iwasaki ◽  
Yutaka Nakajima
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Follow Up Study

Modification of Pelvic Orientation after Total Hip Replacement in Primary Osteoarthritis

2009 ◽  
Vol 19 (3) ◽  
pp. 257-263 ◽  
Author(s):  
Elhadi Sariali ◽  
Jean Yves Lazennec ◽  
Frederic Khiami ◽  
Michel Gorin ◽  
Yves Catonne
Keyword(s):  
Healthy Volunteers ◽  
Range Of Motion ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Sacral Slope ◽  
X Rays ◽  
Acetabular Anteversion ◽  
Total Hip ◽  
Pelvic Inclination ◽  
Primary Osteoarthritis

The acetabular anteversion angle varies according to the position of the pelvis. The objective goal of our study was to investigate changes in pelvic orientation after total hip replacement for primary osteoarthritis. We studied 89 patients who underwent total hip replacement for primary unilateral osteoarthritis. Lateral pelvic X-rays that included the hips were performed pre-operatively and one year post-operatively. Reference values were calculated by carrying out the same analysis in 100 asymptomatic healthy volunteers. Pelvic orientation was analyzed using the sacral slope. Patients having surgery for osteoarthritis had a decreased pelvic range of motion pre-operatively and post-operatively when compared to healthy volunteers. Post-operatively, this range of motion increased by 3° but remained lower than the norm. Compared to asymptomatic healthy volunteers, patients affected by osteoarthritis had a posterior pelvic extension that decreased post-operatively but did not return to norm. This post-operative pelvic inclination generates a significant decrease in the final cup anteversion and thus may predispose to posterior dislocation. As this post-operative alteration to pelvic orientation cannot be anticipated, computer-aided surgery for cup positioning may not improve the accuracy of the acetabular anteversion in some patients.

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