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Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients

INTRODUCTION: Primary arthroplasty of the hip joint is currently one of the most commonly performed procedures in orthopedics. In Poland we are observing significant changes in the age structure. With the prolonged life more and more elderly patients require musculoskeletal surgery to maintain comfo...

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Autores principales: Skowronek, Paweł, Wojciechowski, Artur, Wypniewski, Krzysztof, Sibiński, Marcin, Polguj, Michał, Maksymiuk-Kłos, Agnieszka, Piątkiewicz, Paweł
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7811311/
https://www.ncbi.nlm.nih.gov/pubmed/33488862
http://dx.doi.org/10.5114/aoms/86185
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author Skowronek, Paweł
Wojciechowski, Artur
Wypniewski, Krzysztof
Sibiński, Marcin
Polguj, Michał
Maksymiuk-Kłos, Agnieszka
Piątkiewicz, Paweł
author_facet Skowronek, Paweł
Wojciechowski, Artur
Wypniewski, Krzysztof
Sibiński, Marcin
Polguj, Michał
Maksymiuk-Kłos, Agnieszka
Piątkiewicz, Paweł
author_sort Skowronek, Paweł
collection PubMed
description INTRODUCTION: Primary arthroplasty of the hip joint is currently one of the most commonly performed procedures in orthopedics. In Poland we are observing significant changes in the age structure. With the prolonged life more and more elderly patients require musculoskeletal surgery to maintain comfortable and painless mobility. Reducing the duration of the procedure reduces the costs of anesthesiology, surgical and instrument teams, as well as the operating room technical team. The aim of the study was to compare the time required to perform hip joint arthroplasty by the direct anterior approach (DAA) with the postero-lateral approach (PLA) in our hospital. MATERIAL AND METHODS: A retrospective analysis of 559 total and bipolar cemented and cementless hip replacement procedures based on two operative approaches – the minimally invasive DAA over the course of 2 years, and the standard PLA over the course of 3 years – was performed. RESULTS: Statistically significant differences were observed between the approaches used for cementless total arthroplasty with regard to the mean treatment times: 51.9 min for the 272 DAA cases, and 78.3 min for the 190 PLA cases (p < 0.0001). For the cementless hemi-arthroplasty procedure, the mean treatment times were 46.9 min in 36 patients for DAA, and 48.2 min for 61 patients for PLA (p = 0.57). CONCLUSIONS: Minimally invasive DAA significantly shortens the time of the procedure in elderly patients compared to PLA. Further study is needed to analyze other aspects of those two approaches.
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spelling pubmed-78113112021-01-22 Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients Skowronek, Paweł Wojciechowski, Artur Wypniewski, Krzysztof Sibiński, Marcin Polguj, Michał Maksymiuk-Kłos, Agnieszka Piątkiewicz, Paweł Arch Med Sci Clinical Research INTRODUCTION: Primary arthroplasty of the hip joint is currently one of the most commonly performed procedures in orthopedics. In Poland we are observing significant changes in the age structure. With the prolonged life more and more elderly patients require musculoskeletal surgery to maintain comfortable and painless mobility. Reducing the duration of the procedure reduces the costs of anesthesiology, surgical and instrument teams, as well as the operating room technical team. The aim of the study was to compare the time required to perform hip joint arthroplasty by the direct anterior approach (DAA) with the postero-lateral approach (PLA) in our hospital. MATERIAL AND METHODS: A retrospective analysis of 559 total and bipolar cemented and cementless hip replacement procedures based on two operative approaches – the minimally invasive DAA over the course of 2 years, and the standard PLA over the course of 3 years – was performed. RESULTS: Statistically significant differences were observed between the approaches used for cementless total arthroplasty with regard to the mean treatment times: 51.9 min for the 272 DAA cases, and 78.3 min for the 190 PLA cases (p < 0.0001). For the cementless hemi-arthroplasty procedure, the mean treatment times were 46.9 min in 36 patients for DAA, and 48.2 min for 61 patients for PLA (p = 0.57). CONCLUSIONS: Minimally invasive DAA significantly shortens the time of the procedure in elderly patients compared to PLA. Further study is needed to analyze other aspects of those two approaches. Termedia Publishing House 2021-01-05 /pmc/articles/PMC7811311/ /pubmed/33488862 http://dx.doi.org/10.5114/aoms/86185 Text en Copyright: © 2021 Termedia & Banach http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Clinical Research
Skowronek, Paweł
Wojciechowski, Artur
Wypniewski, Krzysztof
Sibiński, Marcin
Polguj, Michał
Maksymiuk-Kłos, Agnieszka
Piątkiewicz, Paweł
Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
title Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
title_full Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
title_fullStr Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
title_full_unstemmed Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
title_short Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
title_sort time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7811311/
https://www.ncbi.nlm.nih.gov/pubmed/33488862
http://dx.doi.org/10.5114/aoms/86185
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