Total Hip Arthroplasty Clinical Trial
Official title:
Direct Anterior Versus Posterior Approach for Total Hip Arthroplasty: a Multicentric Prospective Randomized Clinical Study
Determining the best approach for a total hip arthroplasty (THA) implies that the procedure is kind on soft tissues, with the lowest complication rates, and easily reproducible. Although there have been several attempts to resolve this issue in the last decade, a definitive answer has not been found. Therefore, the investigators performed a prospective study to compare direct anterior versus posterior approach based on (1) hospital stay, (2) functional outcome, (3) pain, (4) implant position (5) complications and (6) surgical time.
In this multicentric, prospective, randomized clinical trial, 55 total hip arthroplasties
were performed on 50 patients between February 2011 and July 2013. Patients meeting the
inclusion criteria underwent surgical treatment using the DAA or PA, according to a
randomization process. Radiological analysis assessed implant position, limb lengthening, and
potential implant related complications. X-rays were performed at subsequent follow-up visits
and consisted of an antero-posterior (AP) pelvic X-ray and a lateral projection of the hip.
Two independent observers, not involved with patients or surgeries, reviewed all
postoperative radiographs independently.Two fellowship-trained surgeons in two separate
hospitals performed all procedures. Both surgeons had previously performed over 100 cases
with each approach, before initiating this study.
Patients underwent either the posterior or direct anterior approach.
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