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《Chinese Journal of Bone and Joint Injury》 2017-08
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Early clinical efficacy of hip arthroplasty through direct anterior approach

CHEN Ri-jiang;LIU Hui;LIAO Fa-ke;WU Fu-chun;QIU Han-min;QIU Yong-rong;HU Xiu-nian;Department of Orthopedics, Longyan First Hospital, Affiliated to Fujian Medical University;  
Objective To compare the clinical effects of direct anterior approach(DAA) and posterior lateral approach in hip arthroplasty. Methods From June 2015 to May 2016, 72 patients underwent hip arthroplasty, 32 patients in direct anterior approach group(DAA) and 40 patients in posterolateral approach group(PA). Incision length, operative time, blood loss during operation, bed rest time after operation, hospitalization stay, postoperative Harris Hip scoring and VAS scoring were compared.Results The patients had an average follow-up of 9.3(range 6-12)mouths. The operative time in DAA group was longer than that in posterolateral approach group and hospitalization stay, bed rest time in DAA group was lower than that in posterolateral approach group,there were statistical differences between two groups(P 0.05). 1 and 3 months after surgery, there were statistical differences between two groups in Harris hip scores(HHS)(P 0.05). 1 and 3 days after surgery, there were statistical differences between two groups in VAS(P 0.05). Conclusion DAA hip arthroplasty could reduce soft tissue injury, reduce postoperative pain. But DAA hip arthroplasty operation needs high technical requirements and certain learning curve.
【Key Words】: Hip arthroplasty Direct anterior approach Posterolateral approach
【CateGory Index】: R687.4
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