지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 109 - 119 (11page)
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초록· 키워드
오류제보하기
The direct anterior approach (DAA) is an established approach for total hip arthroplasty (THA) but has been sparingly tried for revisions. The purpose of this study was to examine the available literature in order to consolidate information available on revision THA using the DAA. A PubMed, Embase, and Scopus search was performed using relevant keywords. Studies reporting on patients undergoing revision THA using DAA were included for analysis. In a review of the literature, nine studies matched the pre-decided inclusion criteria with 319 hip joints undergoing revision THA. Mean follow-up of all included studies was 34 months. The indications of revision after primary THA in decreasing order were aseptic loosening (53%), prosthetic joint infection (20.7%), peri-prosthetic fracture (16.9%), dislocation (7.2%), psoas impingement (1.9%), polyethylene wear (1.2%), pain (0.6%), and instability (0.3%). Of the 319 revisions evaluated, 107 underwent a stem revision, 142 underwent cup revision, 49 underwent a combined revision, and 21 underwent isolated liner/head change. A statistically significant improvement in functional score (P<0.05) was observed for all studies reporting on functional outcomes. A low complication rate (51/319, 16.0%), which includes dislocation (12), infection (12), loosening of the acetabular shell (5), peri-prosthetic fractures (6), haematoma (4), and transient nerve palsy (6), was reported. Based on available level III-IV evidence, DAA appears to be a reliable alternative for revision of the failed hip arthroplasty with acceptable complication rates. Evidence of a higher quality is needed to further characterize its role in revision scenarios.
목차
등록된 정보가 없습니다.
참고문헌 (4)
참고문헌 신청
Mast NH / 2011 / Revision total hip arthroplasty performed through the Hueter interval / J Bone Joint Surg Am 93(Suppl 2):143~148
Christensen CP / 2015 / Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty(THA) : a randomized study / J Arthroplasty 30(9 Suppl):94~97
De Smet K / 2008 / Metal ion measurement as a diagnostic tool to identify problems with metal-onmetal hip resurfacing / J Bone Joint Surg Am 90(Suppl 4):202~208
Kerboull L / 2015 / Selecting the surgical approach for revision total hip arthroplasty / Orthop Traumatol Surg Res 101(1Suppl):S171~S178
Christensen CP / 2015 / Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty(THA) : a randomized study / J Arthroplasty 30(9 Suppl):94~97
De Smet K / 2008 / Metal ion measurement as a diagnostic tool to identify problems with metal-onmetal hip resurfacing / J Bone Joint Surg Am 90(Suppl 4):202~208
Kerboull L / 2015 / Selecting the surgical approach for revision total hip arthroplasty / Orthop Traumatol Surg Res 101(1Suppl):S171~S178
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