☆ 4.6 Article

Greater Prevalence of Wound Complications Requiring Reoperation With Direct Anterior Approach Total Hip Arthroplasty

JOURNAL OF ARTHROPLASTY (2014)

期刊

JOURNAL OF ARTHROPLASTY

卷 29, 期 9, 页码 1839-1841

出版社

CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS

DOI: 10.1016/j.arth.2014.04.036

关键词

total hip arthroplasty; surgical technique; complication; reoperation; wound healing

类别

Orthopedics

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Reagent

摘要

The purpose of this retrospective study was to compare wound complication rates between primary THAs performed via a posterior or direct anterior approach. From our prospective outcomes registry, we identified 1288 primary THAs performed via a posterior approach and 505 via a direct anterior approach. The direct anterior approach resulted in a significantly greater number of wound complications that required reoperation than the posterior approach (7/505 (1.4%) vs. 3/1,288 (0.2%), P = 0.007). As such, patients should be counseled on the potential increased risk of early wound complications with the direct anterior approach, and future research is needed to determine if alternative closure techniques can reduce the risk of wound complication. (C) 2014 Elsevier Inc. All rights reserved.

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