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Archives of Orthopaedic and Trauma Surgery

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09-03-2021 | Hip-TEP | Orthopaedic Surgery

Anterior hip replacement: lower dislocation rates despite less restrictions?

Authors: Anna Jungwirth-Weinberger, Tom Schmidt-Braekling, Kilian Rueckl, Bernhard Springer, Friedrich Boettner

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2022

Abstract

Introduction

Dislocation in Total hip arthroplasty (THA) is a common postoperative complication and reason for revision surgery. The direct anterior approach has become more popular over the last decade. The purpose of this study was to compare postoperative dislocation rates of the direct anterior and the posterior approach at a one-year follow-up.

Material and methods

797 consecutive hips operated through a posterior approach [698 patients (307 male, 391 female)] between 2009 and 2012, were compared to 690 selected THA [610 patients (423 female, 187 male)] operated since 2012. Anterior hip replacement surgery was primarily indicated for patients demanding increased flexibility after surgery (Yoga) or were considered a higher risk for dislocation.

Results

During a one-year follow-up there were eight dislocations out of 797 THA (1%) in the posterior group and none in the 690 THA (0%) in the anterior group (p-value of 0.008). Average time to dislocation was 7.5 weeks in the posterior group. Five of eight patients with dislocations needed revision surgery due to persistent instability.

Conclusion

Even in a higher-risk patient population, the direct anterior approach showed a lower dislocation rate compared to the posterior approach in the first year after surgery.

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Title: Anterior hip replacement: lower dislocation rates despite less restrictions?
Authors: Anna Jungwirth-Weinberger
Tom Schmidt-Braekling
Kilian Rueckl
Bernhard Springer
Friedrich Boettner
Publication date: 09-03-2021
Publisher: Springer Berlin Heidelberg
Keywords: Hip-TEP
Hip-TEP
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2022
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-03849-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anterior hip replacement: lower dislocation rates despite less restrictions?

Abstract

Introduction

Material and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Material and methods

Results

Conclusion

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