Efficacy Evaluation of Different Approaches in Total Hip Arthroplasty:A Single Center Retrospective Cohort Study
10.13241/j.cnki.pmb.2025.15.012
- VernacularTitle:不同入路方式在全髋关节置换术中的应用疗效评价:一项单中心回顾性队列研究
- Author:
Wu-yuan ZHENG
1
;
Min-yun CHEN
1
;
Wei-kai XU
1
;
Xi LUO
1
;
Yi-bo XIE
1
Author Information
1. 中国人民解放军海军陆战队医院关节外科 广东潮州 521000
- Publication Type:Journal Article
- Keywords:
Direct anterior approach;
Total hip arthroplasty;
Posterolateral approach;
Efficacy;
Single center;
Retrospective;
Cohort study
- From:
Progress in Modern Biomedicine
2025;25(15):2487-2493
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of two different approaches:direct anterior approach(DAA)and posterolateral approach(PLA)in total hip arthroplasty(THA).Methods:This study adopted a retrospective cohort study design,included to analyse 128 cases of THA patients who were received in our hospital from January 2021 to January 2024.Patients were divided into PLA group(n=61)and DAA group(n=67)according to different approach methods.Perioperative indicators,Harris hip joint function score,anteversion and abduction angles of acetabular prosthesis and incidence of complications were compared between the two groups.Results:Compared with PLA group,DAA group had longer surgical time,less intraoperative blood loss,shorter surgical incision length and shorter postoperative hospital stay(P＜0.05).Compared with the PLA group at 1 month(T2)to 6 months(T4)after surgery,DAA group had higher Harris hip joint function score(P＜0.05).Conclusion:Compared with PLA,DDA is used in THA,although the surgery time is longer,it can achieve a similar recovery effect in anteversion and abduction angles,which helps to shorten the surgical incision length and postoperative hospital stay,reduce intraoperative blood loss and achieve better hip joint function recovery.
