Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty. Reichert, J. C., Volkmann, M. R., Koppmair, M., Rackwitz, L., Ludemann, M., Rudert, M., & Noth, U. International orthopaedics, March, 2015. doi abstract bibtex PURPOSE: The presented retrospective study compares clinical outcomes five years after total hip arthroplasty performed through a minimally invasive direct anterior approach and a direct transgluteal lateral approach. METHODS: A total of 171 arthroplasties in 167 patients were evaluated utilizing the Harris hip score (HHS), the SF-36, a daily activity questionnaire, and the UCLA activity score. RESULTS: The average HHS showed no significant difference equalling 91.4 points in the anterior group and 92.4 in the lateral group (p = 0.952). The SF-36 physical component scores were 50.7 (anterior) and 50.0 (lateral) while the psychometric properties added up to 48.6 (anterior) and 50.3 (lateral) with no significant differences evident (p = 0.782, p = 0.071). Daily activity was found to result in 4,855 (anterior) and 5,016 (lateral) cycles, respectively (p = 0.364). No difference regarding pain sensation was determined (p = 0.859). A significant difference was found for the UCLA score, which was calculated to be 5.9 in the anterior and 6.4 in the lateral approach group (p = 0.008). CONCLUSION: In summary, our mid-term results show comparable outcomes for both approaches regarding functionality, pain, quality of life and daily activity.
@article{reichert_comparative_2015,
title = {Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty.},
doi = {10.1007/s00264-015-2732-8},
abstract = {PURPOSE: The presented retrospective study compares clinical outcomes five years after total hip arthroplasty performed through a minimally invasive direct anterior approach and a direct transgluteal lateral approach. METHODS: A total of 171 arthroplasties in 167 patients were evaluated utilizing the Harris hip score (HHS), the SF-36, a daily activity questionnaire, and the UCLA activity score. RESULTS: The average HHS showed no significant difference equalling 91.4 points in the anterior group and 92.4 in the lateral group (p = 0.952). The SF-36 physical component scores were 50.7 (anterior) and 50.0 (lateral) while the psychometric properties added up to 48.6 (anterior) and 50.3 (lateral) with no significant differences evident (p = 0.782, p = 0.071). Daily activity was found to result in 4,855 (anterior) and 5,016 (lateral) cycles, respectively (p = 0.364). No difference regarding pain sensation was determined (p = 0.859). A significant difference was found for the UCLA score, which was calculated to be 5.9 in the anterior and 6.4 in the lateral approach group (p = 0.008). CONCLUSION: In summary, our mid-term results show comparable outcomes for both approaches regarding functionality, pain, quality of life and daily activity.},
language = {ENG},
journal = {International orthopaedics},
author = {Reichert, Johannes C. and Volkmann, Maximilian R. and Koppmair, Maximilian and Rackwitz, Lars and Ludemann, Martin and Rudert, Maximilian and Noth, Ulrich},
month = mar,
year = {2015},
pmid = {25795247},
}
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RESULTS: The average HHS showed no significant difference equalling 91.4 points in the anterior group and 92.4 in the lateral group (p = 0.952). The SF-36 physical component scores were 50.7 (anterior) and 50.0 (lateral) while the psychometric properties added up to 48.6 (anterior) and 50.3 (lateral) with no significant differences evident (p = 0.782, p = 0.071). Daily activity was found to result in 4,855 (anterior) and 5,016 (lateral) cycles, respectively (p = 0.364). No difference regarding pain sensation was determined (p = 0.859). A significant difference was found for the UCLA score, which was calculated to be 5.9 in the anterior and 6.4 in the lateral approach group (p = 0.008). CONCLUSION: In summary, our mid-term results show comparable outcomes for both approaches regarding functionality, pain, quality of life and daily activity.","language":"ENG","journal":"International orthopaedics","author":[{"propositions":[],"lastnames":["Reichert"],"firstnames":["Johannes","C."],"suffixes":[]},{"propositions":[],"lastnames":["Volkmann"],"firstnames":["Maximilian","R."],"suffixes":[]},{"propositions":[],"lastnames":["Koppmair"],"firstnames":["Maximilian"],"suffixes":[]},{"propositions":[],"lastnames":["Rackwitz"],"firstnames":["Lars"],"suffixes":[]},{"propositions":[],"lastnames":["Ludemann"],"firstnames":["Martin"],"suffixes":[]},{"propositions":[],"lastnames":["Rudert"],"firstnames":["Maximilian"],"suffixes":[]},{"propositions":[],"lastnames":["Noth"],"firstnames":["Ulrich"],"suffixes":[]}],"month":"March","year":"2015","pmid":"25795247","bibtex":"@article{reichert_comparative_2015,\n\ttitle = {Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty.},\n\tdoi = {10.1007/s00264-015-2732-8},\n\tabstract = {PURPOSE: The presented retrospective study compares clinical outcomes five years after total hip arthroplasty performed through a minimally invasive direct anterior approach and a direct transgluteal lateral approach. METHODS: A total of 171 arthroplasties in 167 patients were evaluated utilizing the Harris hip score (HHS), the SF-36, a daily activity questionnaire, and the UCLA activity score. RESULTS: The average HHS showed no significant difference equalling 91.4 points in the anterior group and 92.4 in the lateral group (p = 0.952). The SF-36 physical component scores were 50.7 (anterior) and 50.0 (lateral) while the psychometric properties added up to 48.6 (anterior) and 50.3 (lateral) with no significant differences evident (p = 0.782, p = 0.071). Daily activity was found to result in 4,855 (anterior) and 5,016 (lateral) cycles, respectively (p = 0.364). No difference regarding pain sensation was determined (p = 0.859). A significant difference was found for the UCLA score, which was calculated to be 5.9 in the anterior and 6.4 in the lateral approach group (p = 0.008). 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