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The low dislocation
rate but high risk of superficial wound complications found to be associated
with the application of the
revised primary direct anterior (DAA) total hip
arthroplasty (THA), pros and cons can be considered before its advise.
As portrayed from a recent study published in ‘The Journal
of Arthroplasty’, the revision primary direct anterior (DAA) total
hip arthroplasty (THA) was found to be associated with an increase in odd ratio
of superficial wound complications,
but on the other hand, have a reduced dislocation rate.
Gregory Kurkis et al. in a study hypothesized
that anterior approach revision surgery may have greater wound complications
than the posterior hip revisions (PA) and also report on secondary outcome
criterion.
All in all, 99 DAA and 191 PA revisions were considered. Descriptive stats- preoperative demographic features; indication for revision, operative characteristics; type of revision executed, components used, and postoperative complications were distinguished between the DAA and PA groups comprising multivariate analysis. The DAA cohort revealed an higher risk of superficial wound complications (7.1% versus 0.5%) and a lessened dislocation rate (2.0% versus 13.1%). A trend towards increased overall complications in the PA group (OR 1.71, p=0.078) followed, refer to the table below:
Table: Multivariate
Analysis of 90-Day Postoperative Complication, Readmission or 233 Dislocation
by Surgical Approach
The Journal of Arthroplasty
Anterior Revision Hip Arthroplasty Is Associated With Higher Wound Complications But Fewer Dislocations Compared To Posterior Revision Hip Surgery
Gregory Kurkis et al.
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