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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 240 - 246 (7page)
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초록· 키워드
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Purpose: The aim of the current study is to report the advantage and disadvantage of total hip arthroplasty performed in direct anterior approach (DAA) by comparing it to the posterolateral approach (PLA).
Materials and Methods: Twenty-five hip arthroplasty done in DAA (12 total hip arthroplasty [THA] and 13 bipolar hemiarthroplasty [BHA]) were compared with the same number done in PLA (13 THA and 12 BHA). Intraoperative assessments including operation time, anesthetic time, bleeding amount were recorded with intraoperative complications. Immediate postoperatively, position of the prosthesis and leg length discrepancy were measured and were compared between the two approaches.
Results: The operation time was 22 minutes and 19 minutes longer in DAA for THA and BHA respectively while the anesthetic time difference was 26 and 10 respectively. However, these parameters showed no statistical difference. No significance was found when bleeding amount was compared. For DAA, cup alignment was within safe zone in 100% both for inclination and for anteversion while this was 83.3% and 75.0% respectively in PLA. Leg length difference was 3 mm in DAA and 5 mm in PLA but had no significant difference. Tensor fascia lata tear was the most common complication occurring in 9 patients.
Conclusion: Although significant was not reached there was trend toward more operation time and anesthetic time when DAA was used. However, the trend also showed that cup and stem were likely to be in more accurate position and in adequate size which is likely due to the accurate use of fluoroscopy
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참고문헌 (23)
참고문헌 신청
Alecci V / 2011 / Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings / J Ort
Barrett WP / 2013 / Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty / J Arthroplasty 28 : 1634 ~ 1638
Barton C / 2009 / Complications of the direct anterior approach for total hip arthroplasty / Orthop Clin North Am 40 : 371 ~ 375
Berend KR / 2009 / Enhanced early outcomes with the anterior supine intermuscular approach in primary total hip arthroplasty / J Bone Joint Surg Am 91 (Suppl 6) : 107 ~ 120
Chang RW / 1996 / A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip / JAMA 275 : 858 ~ 865
Barrett WP / 2013 / Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty / J Arthroplasty 28 : 1634 ~ 1638
Barton C / 2009 / Complications of the direct anterior approach for total hip arthroplasty / Orthop Clin North Am 40 : 371 ~ 375
Berend KR / 2009 / Enhanced early outcomes with the anterior supine intermuscular approach in primary total hip arthroplasty / J Bone Joint Surg Am 91 (Suppl 6) : 107 ~ 120
Chang RW / 1996 / A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip / JAMA 275 : 858 ~ 865
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