Volume 22 Issue 1
Jan.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 55-58
LUO Chunlin, SU Zhimeng, ZHONG Yuanming, WU Jianghua. Early clinical outcomes of total hip arthroplasty with minimally invasive direct anterior approach and traditional posterolateral approache for femoral head avascular necrosis[J]. Chinese Journal of General Practice, 2024, 22(1): 55-58. doi: 10.16766/j.cnki.issn.1674-4152.003330
Citation: LUO Chunlin, SU Zhimeng, ZHONG Yuanming, WU Jianghua. Early clinical outcomes of total hip arthroplasty with minimally invasive direct anterior approach and traditional posterolateral approache for femoral head avascular necrosis[J]. Chinese Journal of General Practice, 2024, 22(1): 55-58. doi: 10.16766/j.cnki.issn.1674-4152.003330
shu

Early clinical outcomes of total hip arthroplasty with minimally invasive direct anterior approach and traditional posterolateral approache for femoral head avascular necrosis

doi: 10.16766/j.cnki.issn.1674-4152.003330
  • 1.

    Department of Orthopedics, Baoshun Hospital of Qinzhou, Qinzhou, Guangxi 535000, China

Funds:

 82260942

 20213729

  • Received Date: 2023-02-23
    Available Online: 2024-03-09
    Abstract
  •   Objective  To compare the early clinical efficacy of total hip arthroplasty with minimally invasive direct anterior approach and traditional lateral approach for the treatment of avascular necrosis of the femoral head.  Methods  A retrospective study was conducted at Baoshun Hospital of Qinzhou from January 2020 to December 2021, involving 60 patients with avascular necrosis of the femoral head. Among them, 30 patients underwent total hip arthroplasty using the minimally invasive direct anterior approach, while the remaining 30 patients underwent the traditional lateral approach. The data of the two groups were collected to compare various factors, including operation time, bleeding volume, hospitalization time, Harris score of the hip joint, patient satisfaction, and postoperative complications.  Results  The average follow-up period for the 60 patients was 12 months. Statistically significant differences were observed between the two groups in terms of mean intraoperative blood loss [(200.8±5.6)mL vs. (401.2±10.4)mL], length of hospital stay [(6.5±1.1)d vs. (10.6±1.2) d], and Harris score [(90.0±3.3) points vs. (84.4±2.8) points] at 1 month post-operation (P < 0.05). At the 6 month follow-up, the overall satisfaction level in group A was higher than that in group B [(98.5±1.3)% vs. (95.2±1.9)%, P < 0.01] and the scar scale score in group A was lower than that in group B [(1.5±0.8) points vs. (3.2±1.0) points, P < 0.01].  Conclusion  Both the minimally invasive direct anterior approach and the posterolateral approach have demonstrated efficacy in treating avascular necrosis of femoral head. However, the minimally invasive direct anterior approach offers distinct advantages, including significantly reduced postoperative pain, decreased intraoperative bleeding, shorter hospital stays, and higher patients satisfaction levels.

     

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    WANG S F, XIA B J. The influence of TCM characteristic nursing based on evidence-based theory on the quality of life and therapeutic effect of patients with femoral head necrosis[J]. Chinese Journal of General Practice, 2021, 19(2): 328-331. doi: 10.16766/j.cnki.issn.1674-4152.001801
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