Risk Factors for Wound Complications After Direct Anterior Approach Hip Arthroplasty

Jahng, Kenneth H.; Bas, Marcel A.; Rodríguez, José A.; Cooper, H. John

doi:10.1016/j.arth.2016.04.030

Cited by 81 publications

(72 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While modest, early functional benefit of the DAA THA may be real, this should be juxtaposed with recent literature which suggests that the approach is associated with increased peri-prosthetic fracture 35 , femoral loosening 11 , early revision rates 36 , and incisional wound healing problems 37,38 . Warth et al 16 evaluated internet promotion of minimally invasive TKA by AAHKS members in 2007, and found that only 8.4% of surgeon websites referenced this technique.…”

Section: Accepted Manuscriptmentioning

confidence: 89%

Internet Promotion of Direct Anterior Approach Total Hip Arthroplasty by Members of the American Association of Hip and Knee Surgeons

Shofoluwe

Naveen

Inabathula

et al. 2018

The Journal of Arthroplasty

View full text Add to dashboard Cite

Over one-fifth of AAHKS members promoted the DAA on the internet. Member websites claimed DAA benefits such as faster recovery and decreased pain approximately 9 times more frequently than any potential risk of the procedure (P < .001). While AAHKS policy does not regulate member marketing, it is the responsibility of all orthopedic surgeons to disseminate accurate, validated information concerning the procedures we perform.

show abstract

Section: Accepted Manuscriptmentioning

confidence: 89%

Internet Promotion of Direct Anterior Approach Total Hip Arthroplasty by Members of the American Association of Hip and Knee Surgeons

Shofoluwe

Naveen

Inabathula

et al. 2018

The Journal of Arthroplasty

View full text Add to dashboard Cite

show abstract

“…The relatively higher rate of wound complications in this series can be explained by the predominant utilization of the direct anterior approach in patients included in this study. Multiple studies have demonstrated increased rates of wound complication when comparing the direct anterior approach to other surgical approaches [34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Outpatient vs. Inpatient Hip Arthroplasty: A Matched Case-Control Study on 90-Day Complication Rate and 2-Year Patient Reported Outcomes

Rosinsky

Chen

Yelton

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The transition to outpatient-based surgery is a major development occurring in recent years in the field of total hip arthroplasty (THA). The effect of this transition on patient reported outcomes (PROs) is still not well established. The purpose of the current study was to compare patients undergoing inpatient THA (iTHA) to patients undergoing outpatient THA (oTHA) regarding (1) perioperative variables including: surgical time, blood loss, and length of stay (2) 90-day complication rates and unplanned emergency room or office visits (3) 2-year PROs including: modified Harris hip score (mHHS), Harris hip score (HHS), forgotten joint score (FJS), pain, and satisfaction, as well as quality of live measures. Methods: The XXX registry was analyzed for patients undergoing THA between July 2014 and April 2016. The first 100 patients undergoing oTHA were selected and matched to 100 patients undergoing iTHA via propensity matching based on the following variables: age, sex, body mass index (BMI), Charlson comorbidity index (CCI), and smoking status. The primary outcomes were PROs at two years post-operatively. The secondary outcomes were perioperative surgical variables, 90-day complication rates, and unplanned emergency and clinic visits. Results: After exclusions, 91 patients remained in each group and were compared. The oTHA group showed improved 2-year PROs with regard to mHHS (91.5 vs. 86.2; P=0.02), HHS (92.3 vs. 87.4; P=0.02), and pain (1.0 vs. 1.5; P=0.04). The oTHA group had an average length of stay of 6.8 hours compared to 43.2 hours for the iTHA group (P<0.001). There were no significant differences between the groups regarding readmissions, emergency room visits, and unplanned clinic visits. Complications and revision rates were similar in both groups. Conclusion: In appropriately selected, younger patients, oTHA can achieve improved postoperative 2-year PROs compared to iTHA. We found no differences regarding postoperative short-term complications or two-year revision rates, and no differences in unplanned office visits or readmissions.

show abstract

“…While recognizing deep infection or reoperation are straightforward in a chart review, minor wound complications such as superficial SSIs or wound dehiscence may be missed if documentation is lacking. Although we attempted to standardize these definitions using previously published criteria [20,41], there is potential for misclassification if documentation was not sufficient. Second, there is a potential for selection bias in patients treated with ciNPT, as most of these were treated more recently and may have benefited from other variables that changed with time (such as MRSA PCR nasal screening) but were not included in the statistical analysis due to sample size.…”

Section: Discussionmentioning

confidence: 99%

Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee

Cooper

Roc

Bas

et al. 2018

Injury

Self Cite

View full text Add to dashboard Cite

show abstract

Risk Factors for Wound Complications After Direct Anterior Approach Hip Arthroplasty

Cited by 81 publications

References 32 publications

Internet Promotion of Direct Anterior Approach Total Hip Arthroplasty by Members of the American Association of Hip and Knee Surgeons

Internet Promotion of Direct Anterior Approach Total Hip Arthroplasty by Members of the American Association of Hip and Knee Surgeons

Outpatient vs. Inpatient Hip Arthroplasty: A Matched Case-Control Study on 90-Day Complication Rate and 2-Year Patient Reported Outcomes

Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee

Contact Info

Product

Resources

About