Cargando…

The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches

Total hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith–Petersen; Hueter), anterolateral (ALA; Watson–Jones), direct lateral (LA;...

Descripción completa

Detalles Bibliográficos
Autores principales: Stolarczyk, Artur, Stolarczyk, Magda, Stępiński, Piotr, Dorocińska, Monika K., Świercz, Maciej, Szymczak, Jakub, Żarnovsky, Krystian, Żuchniewicz, Albert, Maciąg, Bartosz M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196856/
https://www.ncbi.nlm.nih.gov/pubmed/34064295
http://dx.doi.org/10.3390/jcm10112246
_version_ 1783706784001687552
author Stolarczyk, Artur
Stolarczyk, Magda
Stępiński, Piotr
Dorocińska, Monika K.
Świercz, Maciej
Szymczak, Jakub
Żarnovsky, Krystian
Żuchniewicz, Albert
Maciąg, Bartosz M.
author_facet Stolarczyk, Artur
Stolarczyk, Magda
Stępiński, Piotr
Dorocińska, Monika K.
Świercz, Maciej
Szymczak, Jakub
Żarnovsky, Krystian
Żuchniewicz, Albert
Maciąg, Bartosz M.
author_sort Stolarczyk, Artur
collection PubMed
description Total hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith–Petersen; Hueter), anterolateral (ALA; Watson–Jones), direct lateral (LA; Bauer), posterior (PA; Kocher–Langenbeck), and posterolateral (PLA). There is still a dispute over the optimal technique. The aim of this systematic review was to assess how different surgical approaches toward a THA influence the prosthesis elements’ positioning. We conducted a literature search of Scopus, ScienceDirect, PubMed, Embase, and The Cochrane Library. We evaluated studies in terms of the first author’s name, country, publication year, type of surgical approach being compared to the direct anterior approach, any significant differences at baseline, sample size, and radiographic analysis. A subanalysis of each approach in comparison to the DAA revealed differences in terms of all analyzed implant positioning radiographic parameters. There is still an insufficient number of randomized controlled studies that include radiological analyses comparing THRs (total hip replacements) performed using DAA with other approaches. Implant placement is a crucial step during a THR and surgeons must be aware that the approach they use might impact their judgment on angles and spaces inside the joint and thus alter the implant positioning.
format Online
Article
Text
id pubmed-8196856
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-81968562021-06-13 The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches Stolarczyk, Artur Stolarczyk, Magda Stępiński, Piotr Dorocińska, Monika K. Świercz, Maciej Szymczak, Jakub Żarnovsky, Krystian Żuchniewicz, Albert Maciąg, Bartosz M. J Clin Med Review Total hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith–Petersen; Hueter), anterolateral (ALA; Watson–Jones), direct lateral (LA; Bauer), posterior (PA; Kocher–Langenbeck), and posterolateral (PLA). There is still a dispute over the optimal technique. The aim of this systematic review was to assess how different surgical approaches toward a THA influence the prosthesis elements’ positioning. We conducted a literature search of Scopus, ScienceDirect, PubMed, Embase, and The Cochrane Library. We evaluated studies in terms of the first author’s name, country, publication year, type of surgical approach being compared to the direct anterior approach, any significant differences at baseline, sample size, and radiographic analysis. A subanalysis of each approach in comparison to the DAA revealed differences in terms of all analyzed implant positioning radiographic parameters. There is still an insufficient number of randomized controlled studies that include radiological analyses comparing THRs (total hip replacements) performed using DAA with other approaches. Implant placement is a crucial step during a THR and surgeons must be aware that the approach they use might impact their judgment on angles and spaces inside the joint and thus alter the implant positioning. MDPI 2021-05-21 /pmc/articles/PMC8196856/ /pubmed/34064295 http://dx.doi.org/10.3390/jcm10112246 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Stolarczyk, Artur
Stolarczyk, Magda
Stępiński, Piotr
Dorocińska, Monika K.
Świercz, Maciej
Szymczak, Jakub
Żarnovsky, Krystian
Żuchniewicz, Albert
Maciąg, Bartosz M.
The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
title The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
title_full The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
title_fullStr The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
title_full_unstemmed The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
title_short The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches
title_sort direct anterior approach to primary total hip replacement: radiological analysis in comparison to other approaches
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196856/
https://www.ncbi.nlm.nih.gov/pubmed/34064295
http://dx.doi.org/10.3390/jcm10112246
work_keys_str_mv AT stolarczykartur thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT stolarczykmagda thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT stepinskipiotr thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT dorocinskamonikak thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT swierczmaciej thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT szymczakjakub thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT zarnovskykrystian thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT zuchniewiczalbert thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT maciagbartoszm thedirectanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT stolarczykartur directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT stolarczykmagda directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT stepinskipiotr directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT dorocinskamonikak directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT swierczmaciej directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT szymczakjakub directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT zarnovskykrystian directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT zuchniewiczalbert directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches
AT maciagbartoszm directanteriorapproachtoprimarytotalhipreplacementradiologicalanalysisincomparisontootherapproaches