Greater Prevalence of Wound Complications Requiring Reoperation With Direct Anterior Approach Total Hip Arthroplasty

被引：192

作者：

Christensen, Christian P. ^{[1
]}

Karthikeyan, Tharun ^{[1
]}

Jacobs, Cale A. ^{[1
]}

机构：

[1] Lexington Clin, Lexington, KY 40504 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 09期

关键词：

total hip arthroplasty; surgical technique; complication; reoperation; wound healing; PERIPROSTHETIC JOINT INFECTION; MEDICARE PATIENTS; MORTALITY; RISK; THA;

D O I：

10.1016/j.arth.2014.04.036

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：

100224 [整形外科学];

摘要：

The purpose of this retrospective study was to compare wound complication rates between primary THAs performed via a posterior or direct anterior approach. From our prospective outcomes registry, we identified 1288 primary THAs performed via a posterior approach and 505 via a direct anterior approach. The direct anterior approach resulted in a significantly greater number of wound complications that required reoperation than the posterior approach (7/505 (1.4%) vs. 3/1,288 (0.2%), P = 0.007). As such, patients should be counseled on the potential increased risk of early wound complications with the direct anterior approach, and future research is needed to determine if alternative closure techniques can reduce the risk of wound complication. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1839 / 1841

页数：3

共 13 条

[1]

Estimating Risk in Medicare Patients With THA: An Electronic Risk Calculator for Periprosthetic Joint Infection and Mortality [J].