Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/140061
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Type: | Journal article |
Title: | Short-term difference only in reported outcomes (PROMs) after anterior or posterior approach to total hip arthroplasty: a 4-year prospective multi-centre observational study |
Author: | Lin, D.-Y. Samson, A.J. Cehic, M.G. Brown, B. Kaambwa, B. Wilson, C. Kroon, H.M. Jaarsma, R.L. |
Citation: | Journal of Orthopaedic Surgery and Research, 2023; 18(1):119-1-119-7 |
Publisher: | BMC |
Issue Date: | 2023 |
ISSN: | 1749-799X 1749-799X |
Statement of Responsibility: | D, Yin Lin, Anthony J. Samson, Matthew G. Cehic, Brigid Brown, Billingsley Kaambwa, Christopher Wilson, Hidde M. Kroon and Ruurd L. Jaarsma |
Abstract: | Background: The direct anterior approach (DAA) in total hip arthroplasty (THA) may demonstrate better functional recovery compared to the posterior approach (PA). Methods: In this prospective multi-centre study, patient-related outcome measures (PROMs) and length of stay (LOS) were compared between DAA and PA THA patients. The Oxford Hip Score (OHS), EQ-5D-5L, pain and satisfaction scores were collected at four perioperative stages. Results: 337 DAA and 187 PA THAs were included. The OHS PROM was significantly better in the DAA group at 6 weeks post-operatively (OHS: 33 vs. 30, p = 0.02, EQ-5D-5L: 80 vs. 75, p = 0.03), but there were no differences at 6 months and at 1 year. EQ-5D-5L scores were similar between both groups at all time points. LOS as inpatient was significantly different, in favour of DAA [median 2 days (IQR 2–3) vs. PA 3 (IQR 2–4), p ≤ 0.0001]. Conclusions: Patients undergoing DAA THA have shorter LOS and report better short-term Oxford Hip Score PROMs at 6 weeks, but DAA did not convey long-term benefits over PA THA. |
Keywords: | Total hip arthroplasty |
Description: | Published online: 17 February 2023 |
Rights: | © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:/ creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
DOI: | 10.1186/s13018-023-03603-0 |
Published version: | http://dx.doi.org/10.1186/s13018-023-03603-0 |
Appears in Collections: | Surgery publications |
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hdl_140061.pdf | Published version | 715.34 kB | Adobe PDF | View/Open |
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