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

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.