No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty
Background: Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and l...
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| Veröffentlicht in: | Hip international 2024-11, Vol.34 (6), p.733-740 |
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| container_title | Hip international |
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| creator | Douven, Dirk P M van Kampen, Paulien M Werner, Paul H Schrier, Joost C |
| description | Background:
Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes.
Methods:
Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up.
Results:
There is no significant difference (p |
| doi_str_mv | 10.1177/11207000241269285 |
| format | Article |
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Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes.
Methods:
Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up.
Results:
There is no significant difference (p < 0.05) between the DAA and PA on primary outcome (OHS). There was a main effect of time which indicated an increase of OHS over time independent of group (p < 0.01).
Conclusions:
In the current study, no significant differences in postoperative functional outcome were found between DAA and PA in all follow-up moments.</description><identifier>ISSN: 1120-7000</identifier><identifier>ISSN: 1724-6067</identifier><identifier>EISSN: 1724-6067</identifier><identifier>DOI: 10.1177/11207000241269285</identifier><identifier>PMID: 39129272</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Arthroplasty, Replacement, Hip - methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Osteoarthritis, Hip - surgery ; Pain Measurement ; Prospective Studies ; Recovery of Function ; Time Factors ; Treatment Outcome</subject><ispartof>Hip international, 2024-11, Vol.34 (6), p.733-740</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c222t-a87db26dcd284f651f74ce4ff9d693398168fd18d7f834e0332c7914f9decc503</cites><orcidid>0009-0002-2166-6795</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/11207000241269285$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/11207000241269285$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39129272$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Douven, Dirk P M</creatorcontrib><creatorcontrib>van Kampen, Paulien M</creatorcontrib><creatorcontrib>Werner, Paul H</creatorcontrib><creatorcontrib>Schrier, Joost C</creatorcontrib><title>No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty</title><title>Hip international</title><addtitle>Hip Int</addtitle><description>Background:
Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes.
Methods:
Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up.
Results:
There is no significant difference (p < 0.05) between the DAA and PA on primary outcome (OHS). There was a main effect of time which indicated an increase of OHS over time independent of group (p < 0.01).
Conclusions:
In the current study, no significant differences in postoperative functional outcome were found between DAA and PA in all follow-up moments.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Pain Measurement</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1120-7000</issn><issn>1724-6067</issn><issn>1724-6067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1LAzEQhoMoflR_gBfJ0cvWJLvdbI5S_IKiFz0vaTJpI9tkTbKU_g1_sSmtHhQ8zTDzvC_DOwhdUjKmlPMbShnhhBBWUVYL1kwO0CnlrCpqUvPD3Od9sQVO0FmM7xlkYlIdo5NSUCYYZ6fo89ljbY2BAE4Btg6DDN0Gm8GpZL2THfZDUn4FeA5pDeBwWkKWBFAJS5cgWB-w7PvgpVrmica9j7_H2beXyYJLERvfdX5t3QInn7L_0vZYhrQMvu9kTJtzdGRkF-FiX0fo7f7udfpYzF4enqa3s0IxxlIhG67nrNZKs6Yy9YQaXimojBG6FmUpGlo3RtNGc9OUFZCyZIoLWuU9KDUh5Qhd73zzjR8DxNSubFTQddKBH2JbEsFIjrDeonSHquBjDGDaPtiVDJuWknb7ivbPK7Lmam8_zFegfxTf2WdgvAOiXED77oeQ047_OH4BSUSUXQ</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Douven, Dirk P M</creator><creator>van Kampen, Paulien M</creator><creator>Werner, Paul H</creator><creator>Schrier, Joost C</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0002-2166-6795</orcidid></search><sort><creationdate>202411</creationdate><title>No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty</title><author>Douven, Dirk P M ; van Kampen, Paulien M ; Werner, Paul H ; Schrier, Joost C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c222t-a87db26dcd284f651f74ce4ff9d693398168fd18d7f834e0332c7914f9decc503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Hip - surgery</topic><topic>Pain Measurement</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Douven, Dirk P M</creatorcontrib><creatorcontrib>van Kampen, Paulien M</creatorcontrib><creatorcontrib>Werner, Paul H</creatorcontrib><creatorcontrib>Schrier, Joost C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hip international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Douven, Dirk P M</au><au>van Kampen, Paulien M</au><au>Werner, Paul H</au><au>Schrier, Joost C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty</atitle><jtitle>Hip international</jtitle><addtitle>Hip Int</addtitle><date>2024-11</date><risdate>2024</risdate><volume>34</volume><issue>6</issue><spage>733</spage><epage>740</epage><pages>733-740</pages><issn>1120-7000</issn><issn>1724-6067</issn><eissn>1724-6067</eissn><abstract>Background:
Objective and subjective outcomes in the direct anterior approach (DAA) and posterior approach (PA) in total hip arthroplasty (THA) were assessed in this study, using the Oxford Hip Score (OHS) as primary outcome. Pain, 3 objective performance-based tests, surgical time, blood loss and length of stay were assessed as secondary outcomes.
Methods:
Patients with primary end-stage osteoarthritis were prospectively enrolled by shared decision making for the DAA (32 patients) or PA (26 patients). Baseline data were collected preoperatively and outcomes postoperatively at 2-, 6-, 9- and 12-month follow-up.
Results:
There is no significant difference (p < 0.05) between the DAA and PA on primary outcome (OHS). There was a main effect of time which indicated an increase of OHS over time independent of group (p < 0.01).
Conclusions:
In the current study, no significant differences in postoperative functional outcome were found between DAA and PA in all follow-up moments.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>39129272</pmid><doi>10.1177/11207000241269285</doi><tpages>8</tpages><orcidid>https://orcid.org/0009-0002-2166-6795</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1120-7000 |
| ispartof | Hip international, 2024-11, Vol.34 (6), p.733-740 |
| issn | 1120-7000 1724-6067 1724-6067 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3092011260 |
| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Aged Arthroplasty, Replacement, Hip - methods Female Follow-Up Studies Humans Male Middle Aged Osteoarthritis, Hip - surgery Pain Measurement Prospective Studies Recovery of Function Time Factors Treatment Outcome |
| title | No difference in early functional outcome between the direct anterior approach and posterior approach in patients following total hip arthroplasty |
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