Comparison between the Clinical Outcome of Anterolateral and Posterior Approaches to the Hip Joint in Hip Joint Arthroplasty
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Objective: The objective of this study was to compare the clinical outcome of anterolateral versus posterior approach to the hip joint in hip joint arthroplasty. Methods: The prospective study was carried out on 52 patients who suffered from traumatic and degenerative conditions of the hip joint. e patients were treated by hip joint arthroplasty (bipolar hemiarthroplasty/total hip arthroplasty) through anterolateral approach or posterior approach. 34 patients were operated using the posterior approach and 18 patients were operated using anterolateral approach. e age of patients was ranged from 42 to 68 years. e patients were followed from the date of discharge to the end of 6 months from the date of surgery. Results: The average length of hospital stay was 11.74 ± 1.78 days for the posterior group compared to 10.94 ± 1.47 days for the anterolateral group. e means of the scores of both the groups at the end of 6-month follow-up period using the Modied d’Aubigne and Postel method were compared and were found to be signicantly different. e anterolateral group had a mean score of 36.22 ± 1.17 compared to the mean score of posterior group which was 35.35 ± 1.28. 2 patients of 34 (5.88%) from the posterior group experienced post-operative dislocation. No patient in the anterolateral group experienced post-operative dislocation. Conclusions: In the hands of an experienced surgeon, both approaches were found to be excellent for hip joint arthroplasty as the mean functional outcome score was 36.22 ± 1.17 for the anterolateral group and 35.35 ± 1.28 for the posterior group, both were more than 32, that is, excellent outcome. Anterolateral group showed beer post-operative recovery as compared to the posterior group. Dislocation was found to be a complication in the posterior group with a dislocation rate of 5.88%.
Authors and Affiliations
Ashwani Sadana, Chandra P Pal, Brijesh Sharma, R K Shakunt R K Shakunt, Mohit Sharma, Vikas Mishra
Keywords
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- EP ID EP553740
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Obituaries
Dr K K Srivastava was born on 26th Sept 1936. He did his MBBS in 1958 from KGMC Lucknow and MS in 1962 from the same institution. He started his lecturership at KGMC in 1962 till 1965. He worked at Willingdon Hospital (n...
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