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- W4367331427 abstract "Background Total hip arthroplasty (THA) is a frequent orthopedic surgery. There are different approaches to hip such as anterior, posterior, or lateral approach. Objectives To assess the outcome of THA performed through the direct anterior approach (DAA) versus lateral approaches. Patients and methods This study involved 40 matched patients who underwent primary, elective THA. All cases were classified according to THA approach into two groups: 20 patients who underwent THA with a DAA and 20 patients with the lateral approach. We recorded reoperation rate, postoperative complications, visual analog scale pain scores, and modified Harris hip score (mHHS) for all patients. Results When mHHS was studied, it showed significant improvement postoperatively in both DAA and lateral approach groups (P<0.001). The DAA group showed a higher significant mHHS value at preoperatively (P=0.015), 1 month (P<0.001), 3 months (P<0.001), and 9 months (P=0.001) more than the lateral approach group. Regarding complications, the lateral approach group showed a significant increase in developing wound infection and instability (P=0.048, 0.027, and 0.048, respectively). No significant differences were found when comparing groups regarding loosening, deep infection, femoral complications, and acetabular malposition (P>0.05). Six cases in the lateral approach group needed reoperation with significant difference between this group and DAA group (P=0.027). Conclusion The DAA is a safe and efficacious surgical technique with reducing morbidity, complications, and accelerating functional recovery than the lateral approach in THA." @default.
- W4367331427 created "2023-04-30" @default.
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- W4367331427 date "2023-04-14" @default.
- W4367331427 modified "2023-09-23" @default.
- W4367331427 title "Surgical outcomes of direct anterior approach versus lateral approach in primary total hip arthroplasty" @default.
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- W4367331427 doi "https://doi.org/10.4103/eoj.eoj_28_22" @default.
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