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'On Table' Versus 'Off Table' Direct Anterior Approach Total Hip Arthroplasty: Is There a Difference?
Narayanan, Arvind S; Densley, Sebastian M; McCauley, Julie C; Kulidjian, Anna A; Bugbee, William D; Wilde, Jeffrey M.
Afiliación
  • Narayanan AS; Department of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
  • Densley SM; Shiley Center for Orthopaedic Research and Education, Scripps Clinic, La Jolla, CA, USA.
  • McCauley JC; Shiley Center for Orthopaedic Research and Education, Scripps Clinic, La Jolla, CA, USA.
  • Kulidjian AA; Department of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
  • Bugbee WD; Department of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
  • Wilde JM; Department of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
Arthroplast Today ; 25: 101283, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38313192
ABSTRACT

Background:

The purpose of this study was to evaluate whether there were differences in patient-reported outcomes, operative times, satisfaction scores, and complications between patients undergoing total hip arthroplasty (THA) performed through a direct anterior approach on a specialized traction table or a regular operating room table.

Methods:

Patients who underwent a direct anterior approach THA on a specialized table or a regular table with a minimum 1-year follow-up were included. Patient-reported outcome measures and THA satisfaction were recorded. Demographics, complications, and operative times (both in-room and surgical time) were evaluated. Three hundred twenty-two patients were included with 217 (67.4%) undergoing anterior THA on the specialized table and 105 (32.6%) on a regular table.

Results:

Outcome measures were similar at 4 months and 1 year postoperatively. Average operative time was 87 minutes (range, 50-160) and 90 minutes (range, 35-197) for the specialized table and regular table groups (P = .314). Average total in room time was 123 minutes (range, 87-201) and 120 minutes (range, 62-255) for the specialized table and regular table groups (P = .564). Satisfaction rates between groups did not differ (P = .564). No differences were found in complication rates at 4 months (P = .814) or 1 year (P = .547).

Conclusions:

This study shows that the direct anterior approach for THA can be safely and efficiently performed on either a specialized traction table or a regular table. Surgeons should continue to utilize the approach and set-up they are most comfortable with to achieve an optimal outcome for the patient.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Patient_preference Idioma: En Revista: Arthroplast Today Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Patient_preference Idioma: En Revista: Arthroplast Today Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos