Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement
Objectives: To evaluate patients’ functional outcomes after total hip arthroplasty through a direct lateral approach. Methods: The prospective, observational, descriptive study was conducted at Al-Yarmouk Teaching Hospital, Baghdad, Iraq, from May 2019 to June 2020, and comprised patients aged 2...
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Pakistan Medical Association
2024-09-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://jpma.org.pk/index.php/public_html/article/view/21826 |
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| author | Abdullah Abdulkareem Abbas Ahmed Latteef Al-Shamari |
| author_facet | Abdullah Abdulkareem Abbas Ahmed Latteef Al-Shamari |
| author_sort | Abdullah Abdulkareem Abbas |
| collection | DOAJ |
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Objectives: To evaluate patients’ functional outcomes after total hip arthroplasty through a direct lateral approach.
Methods: The prospective, observational, descriptive study was conducted at Al-Yarmouk Teaching Hospital, Baghdad, Iraq, from May 2019 to June 2020, and comprised patients aged 28-81 years having advanced osteoarthritis and avascular necrosis who underwent cementless total hip arthroplasty. The patients were followed up for 6 months. Outcome was assessed using the Harris hip score, Trendelenburg sign, post-operative hip dislocation, post-operative infection, and heterotopic ossifications. Data was analysed using Excel version 2019.
Results: Of the 30 patients, 14(47%) were males and 16(53%) were females. The overall mean age was 49.8±15.28 years. The mean pre-operative Harris hip score was 43.166±8.27, while it was 83.566±3.83 post-operatively (p<0.001). There was 1(3.33%) case of heterotopic ossification, 3(10%) had Trendelenburg sign. There was no case of postoperative hip dislocation or infection.
Conclusion: The lateral hip approach was found to be associated with good post-operative hip stability and good post-operative functional outcome with low post-operative risk of infection.
Key Words: Arthroplasty, Replacement, Hip, Osteoarthritis, Ossification, Heterotopic, Necrosis
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| format | Article |
| id | doaj-art-b9e8ee8c0ceb4ea7972c64ed6ed47e38 |
| institution | DOAJ |
| issn | 0030-9982 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj-art-b9e8ee8c0ceb4ea7972c64ed6ed47e382025-08-20T02:41:38ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-09-017410 (Supple-08)10.47391/JPMA-BAGH-16-31Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacementAbdullah Abdulkareem Abbas0Ahmed Latteef Al-Shamari1Department of Surgery, Mustansiriyah University, Baghdad, Iraq.Department of Surgery, Mustansiriyah University, Baghdad, Iraq. Objectives: To evaluate patients’ functional outcomes after total hip arthroplasty through a direct lateral approach. Methods: The prospective, observational, descriptive study was conducted at Al-Yarmouk Teaching Hospital, Baghdad, Iraq, from May 2019 to June 2020, and comprised patients aged 28-81 years having advanced osteoarthritis and avascular necrosis who underwent cementless total hip arthroplasty. The patients were followed up for 6 months. Outcome was assessed using the Harris hip score, Trendelenburg sign, post-operative hip dislocation, post-operative infection, and heterotopic ossifications. Data was analysed using Excel version 2019. Results: Of the 30 patients, 14(47%) were males and 16(53%) were females. The overall mean age was 49.8±15.28 years. The mean pre-operative Harris hip score was 43.166±8.27, while it was 83.566±3.83 post-operatively (p<0.001). There was 1(3.33%) case of heterotopic ossification, 3(10%) had Trendelenburg sign. There was no case of postoperative hip dislocation or infection. Conclusion: The lateral hip approach was found to be associated with good post-operative hip stability and good post-operative functional outcome with low post-operative risk of infection. Key Words: Arthroplasty, Replacement, Hip, Osteoarthritis, Ossification, Heterotopic, Necrosis https://jpma.org.pk/index.php/public_html/article/view/21826 |
| spellingShingle | Abdullah Abdulkareem Abbas Ahmed Latteef Al-Shamari Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement Journal of the Pakistan Medical Association |
| title | Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement |
| title_full | Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement |
| title_fullStr | Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement |
| title_full_unstemmed | Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement |
| title_short | Post-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement |
| title_sort | post operative short term clinical evaluation of direct lateral harding approach in primary total hip replacement |
| url | https://jpma.org.pk/index.php/public_html/article/view/21826 |
| work_keys_str_mv | AT abdullahabdulkareemabbas postoperativeshorttermclinicalevaluationofdirectlateralhardingapproachinprimarytotalhipreplacement AT ahmedlatteefalshamari postoperativeshorttermclinicalevaluationofdirectlateralhardingapproachinprimarytotalhipreplacement |