Literature DB >> 27817996

Patient Perceptions of the Direct Anterior Hip Arthroplasty.

William H Trousdale1, Michael J Taunton1, Tad M Mabry1, Matthew P Abdel1, Robert T Trousdale1.   

Abstract

BACKGROUND: The quest for less invasive surgical approaches for total hip arthroplasty (THA) has garnered much attention recently in the community, as well as media outlets. There are very little data demonstrating the actual differences in these approaches. We are unaware of any information documenting patients' perceptions of the direct anterior approach (DAA) for THA. The purpose of this study was to collect information regarding patients' perceptions of the DAA THA.
METHODS: We surveyed 166 consecutive new patients being evaluated for hip osteoarthritis in our outpatient clinic. Demographic data and their knowledge of the DAA were collected, as well as a number of questions on a 5-item Likert scale.
RESULTS: Forty-six (28%) responded that they were aware of the DAA. Respondents primarily learned about the DAA from friends and family (58%), and healthcare professionals (38%). Respondents agreed or strongly agreed that the DAA is less painful (70%), reduces the amount of time spent on a cane after surgery (70%), damages tissues less (68%), allows patients to more quickly return to work (64%), and allows for shorter hospital stays (62%), compared to other procedures. In addition, 30% felt there is a consensus among surgeons that the DAA is the safest and most effective procedure for THA.
CONCLUSION: Many people are unaware of the DAA, with a majority of healthcare information being transmitted by friends and family members. The patients' perceptions are inconsistent with published data about the DAA and are likely influenced by marketing and individuals surrounding them.
Copyright © 2016 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  direct anterior approach; patient awareness; patient perception; sources of patient knowledge; total hip arthroplasty

Mesh:

Year:  2016        PMID: 27817996     DOI: 10.1016/j.arth.2016.10.006

Source DB:  PubMed          Journal:  J Arthroplasty        ISSN: 0883-5403            Impact factor:   4.757


  5 in total

1.  The direct anterior approach without traction table: How does it compare with the posterior approach? - A prospective non-randomised trial.

Authors:  Tarun Goyal; Arghya Kundu Choudhury; Souvik Paul; Lakshmana Das; Tushar Gupta
Journal:  J Clin Orthop Trauma       Date:  2022-06-21

2.  Short-term outcomes vary by surgical approach in total hip arthroplasty: a network meta-analysis.

Authors:  Aaron Gazendam; Anthony Bozzo; Seper Ekhtiari; Colin Kruse; Nancy Hiasat; Daniel Tushinski; Mohit Bhandari
Journal:  Arch Orthop Trauma Surg       Date:  2021-08-19       Impact factor: 2.928

3.  Transitioning to the direct anterior approach in total hip arthroplasty. Is it a true muscle sparing approach when performed by a low volume hip replacement surgeon?

Authors:  Dan-Viorel Nistor; Sergiu Caterev; Sorana-Daniela Bolboacă; Dan Cosma; Dan Osvald Gheorghe Lucaciu; Adrian Todor
Journal:  Int Orthop       Date:  2017-04-24       Impact factor: 3.075

4.  Direct anterior versus mini-anterolateral approach for primary total hip arthroplasty: early postoperative outcomes and complications.

Authors:  Carl L Herndon; Nathan Drummond; Nana O Sarpong; H John Cooper; Roshan P Shah; Jeffrey A Geller
Journal:  Arthroplast Today       Date:  2020-03-31

Review 5.  The direct anterior approach to the hip: a useful tool in experienced hands or just another approach?

Authors:  John Realyvasquez; Vivek Singh; Akash K Shah; Dionisio Ortiz; Joseph X Robin; Andrew Brash; Mark Kurapatti; Roy I Davidovitch; Ran Schwarzkopf
Journal:  Arthroplasty       Date:  2022-01-02
  5 in total

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