Takahito Yuasa1, Hironobu Sato1, Motoshi Gomi1, Arihisa Shimura1, Katsuhiko Maezawa1, Kazuo Kaneko2. 1. Department of Orthopaedic Surgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu city, Chiba, 279-0021, Japan. 2. Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Abstract
PURPOSE: We compared the outcome of total hip arthroplasty (THA) in this age group using direct anterior or posterior approach. METHODS: We performed a retrospective analysis following consecutive primary THA in patients over 80 years. RESULTS: The DAA group demonstrated significantly shorter length of stay, better functional improvement, no dislocation or revision while PA group required two revisions due to dislocation. CONCLUSIONS: The use of DAA for THA in the elderly was associated with shorter hospitalization and superior functional outcomes in the early post-operative period, and had a lower rate of dislocation without increasing risk of early revision.
PURPOSE: We compared the outcome of total hip arthroplasty (THA) in this age group using direct anterior or posterior approach. METHODS: We performed a retrospective analysis following consecutive primary THA in patients over 80 years. RESULTS: The DAA group demonstrated significantly shorter length of stay, better functional improvement, no dislocation or revision while PA group required two revisions due to dislocation. CONCLUSIONS: The use of DAA for THA in the elderly was associated with shorter hospitalization and superior functional outcomes in the early post-operative period, and had a lower rate of dislocation without increasing risk of early revision.
Entities:
Keywords:
Direct anterior approach; Octogenarian; Posterior approach; Total hip arthroplasty