Pierre Martz1,2, Abderrahmane Bourredjem3,4, Davy Laroche5, Marc Arcens6, Ludovic Labattut7, Christine Binquet3,4, Jean-Francis Maillefert8,9, Emmanuel Baulot7,8, Paul Ornetti8,9. 1. Department of Orthopaedic surgery, Dijon University hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France. martzpierre@icloud.com. 2. Burgundy University, INSERM U1093, Dijon, France. martzpierre@icloud.com. 3. Clinical Epidemiology unit, INSERM, CIC1432, Dijon, France. 4. Clinical Investigation Center, Clinical Epidemiology/Clinical trials unit, Dijon University Hospital, Dijon, France. 5. Plurithematic Unit, Technologic Investigation Platform, INSERM, CIC1432, Dijon, France. 6. Geneve University Hospital, Genève, Suisse. 7. Department of Orthopaedic surgery, Dijon University hospital, 14 rue Paul Gaffarel, 21079, Dijon CEDEX, France. 8. Burgundy University, INSERM U1093, Dijon, France. 9. Department of Rheumatology, Dijon University Hospital, Dijon, France.
Abstract
PURPOSE: We assumed that the combination of dual-mobility total hip arthroplasty (THA) using the minimally-invasive Röttinger anterolateral approach could guarantee hip stability with faster functional recovery. We objectively analyzed functional improvement after dual-mobility THA by quantitative gait analysis. METHODS: We compared the results achieved following two different surgical approaches: Röttinger's versus Moore's approach (posterolateral approach). We included 70 patients in an open prospective single-centre study: 38 by Rottinger's approach (age = 67yo) and 32 by Moores's approach (age = 68yo). Clinical and biomechanical analysis (kinematic and kinetic parameters of the hip) were conducted at the pre-operative period and at six months post-op RESULTS: We found a significant improvement in all clinical scores and all biomechanical parameters but no difference was found between the two approaches. However, the study showed marked clinical, biomechanical and functional improvements for patients treated with dual-mobility THA for osteoarthritis without complete hip recovery compared with a control group. CONCLUSIONS: The combination of the Röttinger approach with a dual-mobility cup remains a valid choice for primary THA without functional advantage at midterm.
PURPOSE: We assumed that the combination of dual-mobility total hip arthroplasty (THA) using the minimally-invasive Röttinger anterolateral approach could guarantee hip stability with faster functional recovery. We objectively analyzed functional improvement after dual-mobility THA by quantitative gait analysis. METHODS: We compared the results achieved following two different surgical approaches: Röttinger's versus Moore's approach (posterolateral approach). We included 70 patients in an open prospective single-centre study: 38 by Rottinger's approach (age = 67yo) and 32 by Moores's approach (age = 68yo). Clinical and biomechanical analysis (kinematic and kinetic parameters of the hip) were conducted at the pre-operative period and at six months post-op RESULTS: We found a significant improvement in all clinical scores and all biomechanical parameters but no difference was found between the two approaches. However, the study showed marked clinical, biomechanical and functional improvements for patients treated with dual-mobility THA for osteoarthritis without complete hip recovery compared with a control group. CONCLUSIONS: The combination of the Röttinger approach with a dual-mobility cup remains a valid choice for primary THA without functional advantage at midterm.
Authors: Robin Martin; Patrick E Clayson; Serge Troussel; Brian P Fraser; Pierre-Louis Docquier Journal: J Arthroplasty Date: 2011-03-23 Impact factor: 4.757
Authors: Johannes C Reichert; Maximilian R Volkmann; Maximilian Koppmair; Lars Rackwitz; Martin Lüdemann; Maximilian Rudert; Ulrich Nöth Journal: Int Orthop Date: 2015-03-21 Impact factor: 3.075
Authors: P Ornetti; S Parratte; L Gossec; C Tavernier; J-N Argenson; E M Roos; F Guillemin; J F Maillefert Journal: Osteoarthritis Cartilage Date: 2009-12-29 Impact factor: 6.576
Authors: Julie Nantel; Nicolas Termoz; Pascal-André Vendittoli; Martin Lavigne; François Prince Journal: Arch Phys Med Rehabil Date: 2009-03 Impact factor: 3.966
Authors: Pierre Martz; Abderrahmane Bourredjem; Jean Francis Maillefert; Christine Binquet; Emmanuel Baulot; Paul Ornetti; Davy Laroche Journal: Int Orthop Date: 2019-01-05 Impact factor: 3.075
Authors: Ronald E Delanois; Assem A Sultan; Ahmed A Albayar; Anton Khlopas; Chukwuweike U Gwam; Nipun Sodhi; Suela Lamaj; Jared M Newman; Michael A Mont Journal: Ann Transl Med Date: 2017-12