An early experience of total hip arthroplasty done through direct anterior approach: an adult of cases done at Helen Joseph hospital
Date
2016
Authors
Iqbal, Mohammad Nasir
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Abstract
Background: Total hip arthroplasty is among the most successful and reliable procedures used to treat various hip arthritides. It improves the quality of life by relieving pain and improving function. There are various factors that affect the outcome following surgery. One important factor is the choice of the surgical approach used. The direct anterior approach to the hip is minimally invasive with fewer complications and faster rehabilitation compared to other commonly used surgical approaches to the hip joint.
Aim: The aim of this study was to evaluate intra-operative complications, early post-operative complications and time to mobilization in Total Hip Arthroplasty done using a Direct Anterior Approach and thus determine the length of hospital stay.
Methods: This study was a retrospective analysis of the records of all the cases of total hip arthroplasty done using a direct anterior approach from January 2013 to June 2015. Intraoperative complications and times of mobilization were evaluated.
Results: Out of thirty (30) cases, twenty one (21) cases met the inclusion criteria with 11 male and 10 female patients. The average perioperative blood loss was 440ml and the average time of surgery was 145min. No intra-operative fracture, case of deep vein
thrombosis, injury to lateral femoral cutaneous nerve and postoperative hip dislocation occurred in this series. The average time to mobilization was 6.14 days and the average length of hospital stay was 10.28 days.
Conclusion These results are good and comparable to international studies in spite of the learning curve faced by surgeons when using a new approach.
Description
A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in fulfilment of the requirements for the degree
Of
Master of Medicine
Johannesburg, 2016