The minimal invasive direct anterior approach in combination with large heads in total hip arthroplasty - is dislocation still a major issue? : a case control study

Background: There have been increasing numbers of publications in recent years on minimally invasive surgery (MIS) for total hip arthroplasty (THA), reporting results with the use of different head sizes, tribologic and functional outcomes. This study presents the results and early complication rate...

Verfasser: Höll, Steffen
Sander, Marius
Gosheger, Georg
Ahrens, Helmut
Dieckmann, Ralf
Hauschild, Gregor
FB/Einrichtung:FB 05: Medizinische Fakultät
Dokumenttypen:Artikel
Medientypen:Text
Erscheinungsdatum:2014
Publikation in MIAMI:31.10.2014
Datum der letzten Änderung:16.04.2019
Angaben zur Ausgabe:[Electronic ed.]
Quelle:BMC Musculoskeletal Disorders 15 (2014) 80, 1-5
Schlagwörter:Direct anterior approach; Large heads; Minimal invasive surgery; Total hip arthroplasty; Dislocation rate
Fachgebiet (DDC):610: Medizin und Gesundheit
Lizenz:CC BY 2.0
Sprache:English
Anmerkungen:Finanziert durch den Open-Access-Publikationsfonds 2014/2015 der Deutschen Forschungsgemeinschaft (DFG) und der Westfälischen Wilhelms-Universität Münster (WWU Münster).
Format:PDF-Dokument
ISSN:1471-2474
URN:urn:nbn:de:hbz:6-01369493678
Weitere Identifikatoren:DOI: doi:10.1186/1471-2474-15-80
Permalink:https://nbn-resolving.de/urn:nbn:de:hbz:6-01369493678
Onlinezugriff:1471-2474-15-80.pdf
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520 3 |a Background: There have been increasing numbers of publications in recent years on minimally invasive surgery (MIS) for total hip arthroplasty (THA), reporting results with the use of different head sizes, tribologic and functional outcomes. This study presents the results and early complication rates after THA using the direct anterior approach (DAA) in combination with head sizes ≥ 36 mm. Methods: A total of 113 patients with THA were included in the study. The Harris Hip Score (HHS) was determined, a radiographic evaluation was carried out, and complications were recorded. The minimum follow-up period was 2 years (means 35 ± 7 months). Results: The HHS improved from 43.6 (± 12) to 88.2 (± 14; P < 0.01). One early infection occurred, one periprosthetic fracture, and three cases of aseptic stem loosening. No incorrect positioning of the implants was observed, and there were no dislocations. Conclusion: THA with the minimally invasive DAA in combination with large heads is associated with good to very good functional results in the majority of cases. The complication rates are not increased. The rate of dislocation mainly as an complication of the first two years can be markedly reduced in particular. 
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653 0 |a Direct anterior approach  |a Large heads  |a Minimal invasive surgery  |a Total hip arthroplasty  |a Dislocation rate 
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700 1 |a Ahrens, Helmut  |0 http://d-nb.info/gnd/129562068  |4 aut 
700 1 |a Dieckmann, Ralf  |0 http://d-nb.info/gnd/130252867  |4 aut 
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