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Published in: MUSCULOSKELETAL SURGERY 3/2017

01-12-2017 | Original Article

Comparison of clinical results and patient’s satisfaction between direct anterior approach and Hardinge approach in primary total hip arthroplasty in a community hospital

Authors: C. Trevisan, R. Compagnoni, R. Klumpp

Published in: MUSCULOSKELETAL SURGERY | Issue 3/2017

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Abstract

Introduction

Aim of the study is to compare clinical results and patient’s satisfaction between direct anterior approach and Hardinge approach in primary total hip arthroplasty.

Methods

A group of 30 patients operated with DAA (group B) were compared to 39 patients operated by Hardinge approach (group A). Peri- and postoperative complications, Harris Hip Score (HHS), implant positioning, experienced pain and patient satisfaction were evaluated at a mean follow-up of 30 months.

Results

HHS at follow-up was significantly better in group B (92.2 ± 11.9 vs 95.2 ± 4.5 p = 0.04 Student’s t test). There was no difference in femoral stem positioning while cup inclination was significantly better in group B (40.6° ± 6.6° vs 44.3° ± 7.9°, p = 0.04 Student’s t test). Overall pain recalled by patients was significantly lower in group B.

Conclusion

The introduction of DAA does not affect patients’ final outcome but comes with comparable functional recovery and greater patient satisfaction.
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Metadata
Title
Comparison of clinical results and patient’s satisfaction between direct anterior approach and Hardinge approach in primary total hip arthroplasty in a community hospital
Authors
C. Trevisan
R. Compagnoni
R. Klumpp
Publication date
01-12-2017
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue 3/2017
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-017-0478-8

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