Incision site fat thickness and 90-day complications for direct anterior and posterior approach total hip arthroplasty

Sprowls, Gregory R.; Allen, Bryce C.; Lundquist, Kathleen F.; Sager, Lauren; Barnett, Clint D

doi:10.1177/1120700020977166

Cited by 18 publications

(21 citation statements)

References 15 publications

(31 reference statements)

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“…The same group (Sprowls et al, 2020b) examined the relationship between fat thickness and 90 d postoperative complications and assessed the intraoperative thickness of subcutaneous fat at the incision site for direct anterior and posterior approaches for THA. In total, 124 patients were included and reviewed retrospectively.…”

Section: Discussionmentioning

confidence: 99%

Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement

Fernández

Crespo

Álvarez

et al. 2021

J. Bone Joint Infect.

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Abstract. The objective of our study was to evaluate the association between acute periprosthetic joint infection (APJI) and radiographic measurement of soft-tissue thickness in elective total hip replacement surgery. A case-control study was conducted to compare the soft-tissue thickness radiographic measurement (SRM) at the hip in patients diagnosed with APJI based on Tsukayama et al. (2003) criteria after total hip replacement with patients that were not infected, at a single institution from 2013 to 2019. To minimize selection bias, each case was matched with two controls using the following methodology: patients of the same sex, with an age variation of ± 5 years, and nearest in surgery date to the cases were selected. All postoperative radiographs were performed in the first 24 h after total hip arthroplasty (THA) surgery as it is protocolized in our institution. Soft-tissue thickness radiographic measurement was defined as the distance from the tip of the greater trochanter to the skin following a perpendicular line to the femoral diaphysis in postoperative anteroposterior hip radiographs. In total, 78 patients were included (26 cases and 52 controls). The SRM median of the cases was 76.19 mm (SD: 26.518) and 53.5 mm (SD: 20.47) in controls. A multivariate logistic regression model showed an independent association between APJI and SRM (odds ratio (OR) = 1.033, 95 % confidence interval (CI) 1.007–1.059, p=0.012). Patients with an SRM greater than 60 mm had a 7-fold increase in the odds of APJI (OR = 7.295, 95 % CI = 2.364–22.511, p<0.001). The results of our study suggest an association between large SRM at the hip and the risk of APJI in patients with primary total hip arthroplasty. SRM may be a helpful and easy tool for evaluating the risk of APJI before elective primary total hip replacement surgery.

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Section: Discussionmentioning

confidence: 99%

Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement

Fernández

Crespo

Álvarez

et al. 2021

J. Bone Joint Infect.

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“…There are many clinical studies on the relationship between obesity and DAA-THA, they put forward many different viewpoints [28][29][30][31][32][33][34][35]. However, there is still no uni ed conclusion on whether obesity have a negative impact on total hip arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Obesity Affects Short-Term After Total Hip Arthroplasty: A Retrospective Study

Wang

Yang

Zhang

et al. 2021

Preprint

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Background: At present, there are many clinical studies on the impact of obesity on postoperative function following total hip arthroplasty, but their conclusions are different and even contradictory. As abdominal obesity (AO), which is closely related to obesity, we know very little about its impact on postoperative function following total hip arthroplasty.Methods: Sixty-four patients were included in this prospective randomized controlled trial. Divided them into AO group (WC ≥ 90 cm for men and ≥ 85 cm for women) and non-AO group (WC ≤ 90 cm for men and ≤ 85 cm for women). Preoperative assessment included numerical pain rating, the Oxford Hip Score, 6-minute walk test and repeated at 6,12 months postoperatively. Postoperative assessment included the anteversion and inclination of the acetabular prosthesis, satisfaction at 12 months.Results：The hip joint function of both groups has been significantly improved at 1 year postoperatively. No significant differences were found in hip pain or function between the AO and non-AO groups. However, AO patients had poorer walking capacity (p=0.001).Conclusion: AO does not increase the complications after THA, nor does it have a significant impact on the function after THA, but it seems to have a negative effect on the improvement of walking ability.

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“…There were many clinical studies on the relationship between obesity and THA, in which several different perspectives have been proposed [18][19][20][21][22][23][24][25]. However, there was still no uni ed conclusion on whether obesity had a negative impact on THA.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Abdominal Obesity on Hip Pain, Function, and Walking Ability after Three Years of THA: A Prospective Cohort Study

Wang

Yang

Zhang³

et al. 2021

Preprint

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Background: There are many clinical studies about the impact of obesity on postoperative function following THA, but their conclusions are different and even contradictory. Abdominal obesity is closely related to obesity, while its impact on postoperative function following THA remains to be elucidated.Methods: Four hundred and thirteen patients were included in this study. They were divided into an AO group (waist circumference ≥ 90 cm for men and ≥ 85 cm for women) and a non-AO group (waist circumference ≤ 90 cm for men and ≤ 85 cm for women). Preoperative assessments including numerical pain rating, the Oxford Hip Score, and 6-minute walk test were repeated at 1,2, and 3 years postoperatively. Postoperative assessments included the anteversion and inclination of the acetabular prosthesis and satisfaction survey.Results：At a mean follow-up of 48±1.3 months, there was a significant difference in the improvement of the 6-minute walk test (251.22 to 387.46, 410.34, 410.07 vs 207.79 to 362.17, 395.82, 403.36; p < 0.001) at 1, 2 and 3 years and the numerical pain rating scale (6.00 to 0.39 vs 5.76 to 0.80; p < 0.001) at 1 year between the non-AO group and AO group. There was no difference between both groups in inclination, anteversion, OHS, and satisfaction. Conclusion: AO does not increase the complications after THA, nor does it have a significant impact on the function after THA, but it seems to have a negative effect on the improvement of walking ability and the relief of hip pain.

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Incision site fat thickness and 90-day complications for direct anterior and posterior approach total hip arthroplasty

Cited by 18 publications

References 15 publications

Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement

Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement

Abdominal Obesity Affects Short-Term After Total Hip Arthroplasty: A Retrospective Study

The Influence of Abdominal Obesity on Hip Pain, Function, and Walking Ability after Three Years of THA: A Prospective Cohort Study

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