A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty
Background: Total hip arthroplasty (THA) stands as the definitive gold standard treatment for degenerative hip disorders. Various approaches have been proposed for THA, each with its own set of advantages and disadvantages. This study aimed to compare the initial functional outcomes of the lateral a...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-02-01
|
| Series: | Advanced Biomedical Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/abr.abr_195_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850038815502106624 |
|---|---|
| author | Farzad Amouzadeh Omrani Sina Afzal Mojtaba Baroutkoub Sohrab Salimi Hasan Barati Sina Azadnajafabad Saeed Kokly Mohammad Mehdi Omidian |
| author_facet | Farzad Amouzadeh Omrani Sina Afzal Mojtaba Baroutkoub Sohrab Salimi Hasan Barati Sina Azadnajafabad Saeed Kokly Mohammad Mehdi Omidian |
| author_sort | Farzad Amouzadeh Omrani |
| collection | DOAJ |
| description | Background:
Total hip arthroplasty (THA) stands as the definitive gold standard treatment for degenerative hip disorders. Various approaches have been proposed for THA, each with its own set of advantages and disadvantages. This study aimed to compare the initial functional outcomes of the lateral and posterolateral approaches to determine the approach with superior functional outcomes.
Materials and Methods:
Through a retrospective cohort study, THA candidates over a 1-year period were analyzed. Patients who underwent surgery via the lateral or posterolateral approaches were included. Demographic characteristics of patients and postoperative outcomes were compared. Patients were followed up for 1 and 6 months to evaluate their functional outcomes using the Harris Hip Score (HHS).
Results:
A total of 50 THA candidates, divided into two groups of lateral (N = 25) and posterolateral (N = 25) approaches, were evaluated in this study. Comparison of demographic data revealed a significant difference in height and body mass index between the two groups (P < 0.05), whereas age and weight showed no significant difference (P > 0.05). The mean HHS and range of motion significantly improved in each group after 6 months (P < 0.001). No significant difference was observed between the lateral and posterolateral approaches in terms of HHS and hip range of motion (P > 0.05).
Conclusion:
The results of this study demonstrate no significant difference between the outcomes of the lateral and posterolateral approaches for THA. The choice of the optimal THA approach remains contingent on the surgeon’s experience and the patient’s preference. |
| format | Article |
| id | doaj-art-1f1eefaf03614dccb5d02d00fd91ef37 |
| institution | DOAJ |
| issn | 2277-9175 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Advanced Biomedical Research |
| spelling | doaj-art-1f1eefaf03614dccb5d02d00fd91ef372025-08-20T02:56:30ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752025-02-01141131310.4103/abr.abr_195_24A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip ArthroplastyFarzad Amouzadeh OmraniSina AfzalMojtaba BaroutkoubSohrab SalimiHasan BaratiSina AzadnajafabadSaeed KoklyMohammad Mehdi OmidianBackground: Total hip arthroplasty (THA) stands as the definitive gold standard treatment for degenerative hip disorders. Various approaches have been proposed for THA, each with its own set of advantages and disadvantages. This study aimed to compare the initial functional outcomes of the lateral and posterolateral approaches to determine the approach with superior functional outcomes. Materials and Methods: Through a retrospective cohort study, THA candidates over a 1-year period were analyzed. Patients who underwent surgery via the lateral or posterolateral approaches were included. Demographic characteristics of patients and postoperative outcomes were compared. Patients were followed up for 1 and 6 months to evaluate their functional outcomes using the Harris Hip Score (HHS). Results: A total of 50 THA candidates, divided into two groups of lateral (N = 25) and posterolateral (N = 25) approaches, were evaluated in this study. Comparison of demographic data revealed a significant difference in height and body mass index between the two groups (P < 0.05), whereas age and weight showed no significant difference (P > 0.05). The mean HHS and range of motion significantly improved in each group after 6 months (P < 0.001). No significant difference was observed between the lateral and posterolateral approaches in terms of HHS and hip range of motion (P > 0.05). Conclusion: The results of this study demonstrate no significant difference between the outcomes of the lateral and posterolateral approaches for THA. The choice of the optimal THA approach remains contingent on the surgeon’s experience and the patient’s preference.https://journals.lww.com/10.4103/abr.abr_195_24comparative studypatient outcome assessmenttotal hip replacement |
| spellingShingle | Farzad Amouzadeh Omrani Sina Afzal Mojtaba Baroutkoub Sohrab Salimi Hasan Barati Sina Azadnajafabad Saeed Kokly Mohammad Mehdi Omidian A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty Advanced Biomedical Research comparative study patient outcome assessment total hip replacement |
| title | A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty |
| title_full | A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty |
| title_fullStr | A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty |
| title_full_unstemmed | A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty |
| title_short | A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty |
| title_sort | comparative analysis of functional outcomes between lateral and posterolateral approaches in total hip arthroplasty |
| topic | comparative study patient outcome assessment total hip replacement |
| url | https://journals.lww.com/10.4103/abr.abr_195_24 |
| work_keys_str_mv | AT farzadamouzadehomrani acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT sinaafzal acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT mojtababaroutkoub acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT sohrabsalimi acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT hasanbarati acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT sinaazadnajafabad acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT saeedkokly acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT mohammadmehdiomidian acomparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT farzadamouzadehomrani comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT sinaafzal comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT mojtababaroutkoub comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT sohrabsalimi comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT hasanbarati comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT sinaazadnajafabad comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT saeedkokly comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty AT mohammadmehdiomidian comparativeanalysisoffunctionaloutcomesbetweenlateralandposterolateralapproachesintotalhiparthroplasty |