Comparison of complications after transtrochanteric and posterolateral approaches for primary total hip arthroplasty

被引:17
作者
Schinsky, MF
Nercessian, OA
Arons, RR
Macaulay, W
机构
[1] Columbia Univ, Ctr Hip & Knee Replacement, New York, NY 10032 USA
[2] Washington Univ, Sch Med, Dept Orthopaed Surg, St Louis, MO USA
[3] Columbia Univ, Dept Orthopaed Surg, Coll Phys & Surg, New York, NY 10032 USA
[4] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
关键词
total hip arthroplasty; transtrochanteric approach; posterolateral approach; complications;
D O I
10.1016/S0883-5403(03)00144-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
For this study, 100 total hip arthroplasties (THAs) in a transtrochanteric approach group and 100 THAs in a posterolateral approach group were performed at one University hospital by a single, experienced surgeon. These THAs were then followed up for a minimum of 2 years to determine the incidence of postoperative complications. in our study, patients undergoing primary THA by the posterolateral approach were 18.4 times more likely to be complication free than patients in whom the transtrochanteric approach was used. This benefit, combined with a shortened Surgical time, decreased blood loss, and technical ease, shows the advantages of the posterolateral approach for THA.
引用
收藏
页码:430 / 434
页数:5
相关论文
共 23 条
[1]
COMPLICATIONS OF TROCHANTERIC OSTEOTOMY IN TOTAL HIP-REPLACEMENT [J].
AMSTUTZ, HC ;
MAKI, S .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1978, 60 (02) :214-216
[2]
BOOTH RE, 1988, TOTAL HIP ARTHROPLAS
[3]
BROWNE AO, 1986, CLIN ORTHOP RELAT R, P128
[4]
CHARNLEY J, 1970, CLIN ORTHOP RELAT R, P7
[5]
CLARKE RP, 1979, CLIN ORTHOP RELAT R, P102
[6]
Eftekhar NS, 1978, PRINCIPLES TOTAL HIP
[7]
Eftekhar NS, 1993, TOTAL HIP ARTHROPLAS, V1
[8]
GLASSMAN AH, 1992, ORTHOP CLIN N AM, V23, P321
[9]
RE-ATTACHMENT OF THE UN-UNITED TROCHANTER IN CHARNLEY LOW FRICTION ARTHROPLASTY [J].
HODGKINSON, JP ;
SHELLEY, P ;
WROBLEWSKI, BM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1989, 71 (03) :523-525
[10]
MALLORY TH, 1974, CLIN ORTHOP RELAT R, P133