Comparison between the Clinical Outcome of Anterolateral and Posterior Approaches to the Hip Joint in Hip Joint Arthroplasty
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Objective: The objective of this study was to compare the clinical outcome of anterolateral versus posterior approach to the hip joint in hip joint arthroplasty. Methods: The prospective study was carried out on 52 patients who suffered from traumatic and degenerative conditions of the hip joint. e patients were treated by hip joint arthroplasty (bipolar hemiarthroplasty/total hip arthroplasty) through anterolateral approach or posterior approach. 34 patients were operated using the posterior approach and 18 patients were operated using anterolateral approach. e age of patients was ranged from 42 to 68 years. e patients were followed from the date of discharge to the end of 6 months from the date of surgery. Results: The average length of hospital stay was 11.74 ± 1.78 days for the posterior group compared to 10.94 ± 1.47 days for the anterolateral group. e means of the scores of both the groups at the end of 6-month follow-up period using the Modied d’Aubigne and Postel method were compared and were found to be signicantly different. e anterolateral group had a mean score of 36.22 ± 1.17 compared to the mean score of posterior group which was 35.35 ± 1.28. 2 patients of 34 (5.88%) from the posterior group experienced post-operative dislocation. No patient in the anterolateral group experienced post-operative dislocation. Conclusions: In the hands of an experienced surgeon, both approaches were found to be excellent for hip joint arthroplasty as the mean functional outcome score was 36.22 ± 1.17 for the anterolateral group and 35.35 ± 1.28 for the posterior group, both were more than 32, that is, excellent outcome. Anterolateral group showed beer post-operative recovery as compared to the posterior group. Dislocation was found to be a complication in the posterior group with a dislocation rate of 5.88%.
Authors and Affiliations
Ashwani Sadana, Chandra P Pal, Brijesh Sharma, R K Shakunt R K Shakunt, Mohit Sharma, Vikas Mishra
Keywords
Related Articles
- EP ID EP553740
- DOI -
- Views 114
- Downloads 0
Oral Anticoagulants for Prophylaxis of Deep Vein Thrombosis in Lower Limb Surgeries: The Indian Perspective
Background: DVT is a fatal complication in patients undergoing lower limb surgeries. Not much evidence is provided in Indian literature regarding the incidence of DVT and ideal prophylaxis for the same. Oral Anticoagulan...
Synovial Biopsy: Role in Diagnosis and Management of Unilateral Synovitis Knee
Background: Monoarticular synovitis is relatively difficult to diagnose and delay in diagnosis leads to poor outcomes. Long-term occurrence of synovitis can result in degeneration of the joint due to the release of infla...
Evaluation of Functional Outcome of Titanium Elastic Nail System in Children with Diaphyseal Femoral Fractures
Introduction: Femoral shaft fractures are common childhood injuries and are among common causes for hospitalization. Treatment varies with child’s age. There is little room for question in treatment guidelines in childre...
Intraprosthetic Dislocation Following Bipolar Hemiarthroplasty after 4 Years with Squatting and Sitting Cross Legged: A Case Report
Case Report: A 64 year old female sustained injury to her left hip four years back and was diagnosed as subcapital fracture neck of femur for which bipolar hemiarthroplasty left hip was done. Post Op she was asymptomatic...
Rush Nail in the Management of Distal One-third Fibular Fracture in Both Bone Fractured Legs: A Clinical Study
Background: Aim of this study is to evaluate the results of percutaneous rush pin fixation in distal third fibula in both bone fractured legs. Materials and Methods: Forty patients were treated from emergency and outpati...