Muscle Damage After Total Hip Arthroplasty Through the Direct Anterior Approach for Developmental Dysplasia of the Hip

Kawasaki, Masashi; Hasegawa, Yukiharu; Okura, Toshiaki; Ochiai, Satoshi; Fujibayashi, Takayoshi

doi:10.1016/j.arth.2017.03.043

Cited by 40 publications

(56 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, the CSA of TFLM became larger, indicative of muscular edema and possibly inflammation. Some studies have mentioned that there is increased fatty atrophy with greater injury, associated with a decrease in muscle CSA [14,25,33]. We believe the different timing of post-operative MRI examinations causes this inconsistency.…”

Section: Discussionmentioning

confidence: 94%

“…We used objective measures of hematologic parameters of blood loss, serum levels of circulating, musclespecific enzymes, and quantitative MRI imaging to determine the extent of muscle damage. As indicators of muscle damage, MYO, CPK, and LDH were used to determine the extent of cell muscle injury [14,17,31,32]. Among these data, CPK showed the greatest relative differences in the three postoperative time periods, while the differences in LDH and MYO were less impressive though still statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…Whether DAA is actually superior to other surgical approaches, however, remains controversial. Due to some concerns of less adequate exposure caused by difficulty elevating of proximal femur, some complications can occur during the operation, such as contusion of periarticular muscles, injury to the anterolateral femoral cutaneous nerve, and fractures around the prosthesis [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Inadvertent injury to the muscle can increase bleeding and postoperative pain, lead to abnormalities in gait, and overall poorer recovery for patients. Meanwhile, excessive stimulation of muscles causes irreversible injuries, such as compensatory thickening, hypertrophy, and lipogenesis of muscle fibers [13,14,16,17]. Therefore, avoiding secondary injury to the periarticular muscles caused during THA operations via a DAA is an increasing concern for orthopedic surgeons.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Using the anterior capsule of the hip joint to protect the tensor fascia lata muscle during direct anterior total hip arthroplasty: a randomized prospective trial

Zhao

Zhu

Jiang

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: The direct anterior approach for total hip arthroplasty (THA) has specific advantages, but injury to the tensor fasciae lata muscle (TFLM) remains a concern. This injury in part negates some of the advantages of the intermuscular approach, because injury of the muscle fibers of the TFLM can lead to less satisfactory clinical results. Thus, in this study, we propose an intraoperative method to protect the TFLM and demonstrate its feasibility. Methods: Fifty-six patients undergoing THA by the direct anterior approach were divided randomly into two groups. In group A, the TFLM was protected by an autogenous tissue "pad" created from the anterior capsule of the joint which protect the TFLM from direct contact with the retractors. In group B, the operation was carried out with no protection of the TFLM except the attempt by the surgeons to consciously avoid injury of the TFLM. We evaluated magnitude of changes in the muscle cross-sectional area (MSCA) and fatty atrophy (FA) by magnetic resonance imaging. The differences in blood hemoglobin and serum levels of myoglobin, lactate dehydrogenase (LDH), and creatine phosphokinase (CPK) were compared at different time, postoperatively. The Harris hip score, postoperative drainage volume and visual analogue scores (VAS) were compared between the two groups. Results: LDH, CPK and myoglobin in group B were significantly higher than group A at 8, 24, and 48 h after the surgery. (p < 0.05) Compared to the group A, the decrease of hemoglobin in group B displayed significantly at 24 and 48 h after surgery. (P < 0.05) The significantly increased MSCA and FA of TFLM were demonstrated in group B. The PDV and VAS in group B were significantly higher than group A. (P < 0.05) The Harris score in group A was significantly higher than group B (P < 0.05) one month after surgery, but there was no significant difference six months later. Conclusions: Using the anterior capsule of the hip joint as an autogenous, protective capsular tissue pad to limit the trauma to the TFLM during a direct anterior approach to THA is an effective method to protect the TFLM and improve the clinical effect. Trial registration: ChiCTR: ChiCTR1900025173. Retrospectively registered August 15, 2019.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Using the anterior capsule of the hip joint to protect the tensor fascia lata muscle during direct anterior total hip arthroplasty: a randomized prospective trial

Zhao

Zhu

Jiang

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…For example, it is difficult for young surgeons to judge the orientation of the osteotomy, the position of the true acetabulum, the installation position of the prosthesis, and the exposure of the anatomical safe range. These difficulties often lead to operation complications, such as prolonged operation time, larger surgical incision, and more bleeding, which can result in poor prognosis.…”

Section: Introductionmentioning

confidence: 99%

Mixed Reality Combined with Three‐Dimensional Printing Technology in Total Hip Arthroplasty: An Updated Review with a Preliminary Case Presentation

Lei

Kong

et al. 2019

Orthopaedic Surgery

View full text Add to dashboard Cite

Three‐dimensional (3D) printing technology, virtual reality, and augmented reality technology have been used to help surgeons to complete complex total hip arthroplasty, while their respective shortcomings limit their further application. With the development of technology, mixed reality (MR) technology has been applied to improve the success rate of complicated hip arthroplasty because of its unique advantages. We presented a case of a 59‐year‐old man with an intertrochanteric fracture in the left femur, who had received a prior left hip fusion. After admission to our hospital, a left total hip arthroplasty was performed on the patient using a combination of MR technology and 3D printing technology. Before surgery, 3D reconstruction of a certain bony landmark exposed in the surgical area was first performed. Then a veneer part was designed according to the bony landmark and connected to a reference registration landmark outside the body through a connecting rod. After that, the series of parts were made into a holistic reference registration instrument using 3D printing technology, and the patient's data for bone and surrounding tissue, along with digital 3D information of the reference registration instrument, were imported into the head‐mounted display (HMD). During the operation, the disinfected reference registration instrument was installed on the selected bony landmark, and then the automatic real‐time registration was realized by HMD through recognizing the registration landmark on the reference registration instrument, whereby the patient's virtual bone and other anatomical structures were quickly and accurately superimposed on the real body of the patient. To the best of our knowledge, this is the first report to use MR combined with 3D printing technology in total hip arthroplasty.

show abstract

Rehabilitation for THA Using the ABMS Approach

McGrory

Jepson²

2022

The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty

View full text Add to dashboard Cite

Muscle Damage After Total Hip Arthroplasty Through the Direct Anterior Approach for Developmental Dysplasia of the Hip

Cited by 40 publications

References 28 publications

Using the anterior capsule of the hip joint to protect the tensor fascia lata muscle during direct anterior total hip arthroplasty: a randomized prospective trial

Using the anterior capsule of the hip joint to protect the tensor fascia lata muscle during direct anterior total hip arthroplasty: a randomized prospective trial

Mixed Reality Combined with Three‐Dimensional Printing Technology in Total Hip Arthroplasty: An Updated Review with a Preliminary Case Presentation

Rehabilitation for THA Using the ABMS Approach

Contact Info

Product

Resources

About