Direct anterior approach versus posterolateral approach in total hip arthroplasty: effects on early post-operative rehabilitation period.

Cesare Faldini, Fabrizio Perna, Antonio Mazzotti, N Stefanini, Alessandro Panciera, G Geraci, Paolo Mora, Francesco Traina

Research output: Contribution to journalArticle

Abstract

Main surgical approaches to the hip have been modified during last decades, in an effort to reduce invasiveness of the surgical procedure and allow a faster rehabilitation. Direct anterior approach is the only approach, which does not require muscle detachment, thus theoretically leading to reduced post-operative pain and allows earlier recovery. The aim of this study was to report a comparison between patients operated with direct anterior approach and postero-lateral approach in terms of immediate post-operative and in-hospital records. Pain, operative time, intra- and post-operative complications, blood loss, hospitalization, motor component of the Functional Independence Measure (M-FIM), timed up and go (TUG) test were measured between the two groups and compared. Direct anterior approach showed better results in M-FIM, TUG, hospitalization and blood loss, without any significant difference for intra- and post-operative complications between the 2 groups. This study shows that early post-operative recovery is influenced by the chosen approach. Direct anterior approach showed better outcomes when compared to postero-lateral approach, limited to hospitalization, blood loss, and functional scores. Further comparisons are needed to evaluate direct anterior approach to maintain advantages over postero-lateral approach on longer follow-up period.
Original languageEnglish
Pages (from-to)75-81
Number of pages7
JournalJournal of Biological Regulators and Homeostatic Agents
Volume31
Issue number 4 suppl 1
Publication statusPublished - 2017

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Arthroplasty
Hip
Hospitalization
Rehabilitation
Pain
Hospital Records
Operative Time
Muscles

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Direct anterior approach versus posterolateral approach in total hip arthroplasty: effects on early post-operative rehabilitation period. / Faldini, Cesare; Perna, Fabrizio; Mazzotti, Antonio; Stefanini, N; Panciera, Alessandro; Geraci, G; Mora, Paolo; Traina, Francesco.

In: Journal of Biological Regulators and Homeostatic Agents, Vol. 31, No. 4 suppl 1, 2017, p. 75-81.

Research output: Contribution to journalArticle

Faldini, Cesare ; Perna, Fabrizio ; Mazzotti, Antonio ; Stefanini, N ; Panciera, Alessandro ; Geraci, G ; Mora, Paolo ; Traina, Francesco. / Direct anterior approach versus posterolateral approach in total hip arthroplasty: effects on early post-operative rehabilitation period. In: Journal of Biological Regulators and Homeostatic Agents. 2017 ; Vol. 31, No. 4 suppl 1. pp. 75-81.
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AU - Perna, Fabrizio

AU - Mazzotti, Antonio

AU - Stefanini, N

AU - Panciera, Alessandro

AU - Geraci, G

AU - Mora, Paolo

AU - Traina, Francesco

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AB - Main surgical approaches to the hip have been modified during last decades, in an effort to reduce invasiveness of the surgical procedure and allow a faster rehabilitation. Direct anterior approach is the only approach, which does not require muscle detachment, thus theoretically leading to reduced post-operative pain and allows earlier recovery. The aim of this study was to report a comparison between patients operated with direct anterior approach and postero-lateral approach in terms of immediate post-operative and in-hospital records. Pain, operative time, intra- and post-operative complications, blood loss, hospitalization, motor component of the Functional Independence Measure (M-FIM), timed up and go (TUG) test were measured between the two groups and compared. Direct anterior approach showed better results in M-FIM, TUG, hospitalization and blood loss, without any significant difference for intra- and post-operative complications between the 2 groups. This study shows that early post-operative recovery is influenced by the chosen approach. Direct anterior approach showed better outcomes when compared to postero-lateral approach, limited to hospitalization, blood loss, and functional scores. Further comparisons are needed to evaluate direct anterior approach to maintain advantages over postero-lateral approach on longer follow-up period.

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