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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