Avinash Alva1, Ikram Nizam2, Sophia Gogos3. 1. Mulgrave Private Hospital, Cnr Police Rd and Gladstone Rd, Mulgrave, VIC, 3170, Australia. 2. Centre for Adult Joint Arthroplasty, 1356 High Street, Malvern, VIC, 3144, Australia. ikramnizam@hotmail.com. 3. Alfred Hospital, 55 Commercial Road, Melbourne, VIC, 3004, Australia.
Abstract
PURPOSE: The purpose of this study was to report all complications during the first consecutive 865 cases of bikini incision direct anterior approach (DAA) total hip arthroplasty (THA) performed by a single surgeon. The secondary aims of the study are to report our clinical outcomes and implant survivorship. We discuss our surgical technique to minimize complication rates during the procedure. METHODS: We undertook a retrospective analysis of our complications, clinical outcomes and implant survivorship of 865 DAA THA's over a period of 6 years (mean = 3.9yrs from 0.9 to 6.8 years). RESULTS: The complication rates identified in this study were low. Medium term survival at minimum 2-year survival and revision as the end point, was 99.53% and 99.84% for the stem and acetabular components respectively. Womac score improved from 49 (range 40-58) preoperatively to 3.5(range 0-8.8) and similarly, HHS scores improved from 53(range 40-56) to 92.5(range 63-100) at final follow-up (mean = 3.9 yrs) when compared to preoperative scores. CONCLUSIONS: These results suggest that bikini incision DAA technique can be safely utilised to perform THA.
PURPOSE: The purpose of this study was to report all complications during the first consecutive 865 cases of bikini incision direct anterior approach (DAA) total hip arthroplasty (THA) performed by a single surgeon. The secondary aims of the study are to report our clinical outcomes and implant survivorship. We discuss our surgical technique to minimize complication rates during the procedure. METHODS: We undertook a retrospective analysis of our complications, clinical outcomes and implant survivorship of 865 DAA THA's over a period of 6 years (mean = 3.9yrs from 0.9 to 6.8 years). RESULTS: The complication rates identified in this study were low. Medium term survival at minimum 2-year survival and revision as the end point, was 99.53% and 99.84% for the stem and acetabular components respectively. Womac score improved from 49 (range 40-58) preoperatively to 3.5(range 0-8.8) and similarly, HHS scores improved from 53(range 40-56) to 92.5(range 63-100) at final follow-up (mean = 3.9 yrs) when compared to preoperative scores. CONCLUSIONS: These results suggest that bikini incision DAA technique can be safely utilised to perform THA.
Entities:
Keywords:
Bikini incision; Complications; Direct anterior approach; Enhanced recovery; Total hip arthroplasty; Total hip replacement
Authors: Shuichi Eto; Katherine Hwang; James I Huddleston; Derek F Amanatullah; William J Maloney; Stuart B Goodman Journal: J Arthroplasty Date: 2016-10-08 Impact factor: 4.757
Authors: Mark Charney; Elizabeth W Paxton; Ronald Stradiotto; John J Lee; Adrian D Hinman; Dhiren S Sheth; Heather A Prentice Journal: J Arthroplasty Date: 2020-01-22 Impact factor: 4.757