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A Comparison of the Incidences of Venous Thromboembolism after Total Hip Arthroplasty between the Direct Anterior Approach and the Direct Lateral Approach, Especially in the Early Period after Introduction of the Direct Anterior Approach
Joint Authors
Tani, Takayuki
Yamada, Shin
Miyakoshi, Naohisa
Suzuki, Noriyuki
Konishi, Natsuo
Kubota, Hitoshi
Kawano, Tetsuya
Tazawa, Hiroshi
Kamo, Keiji
Fujii, Masashi
Sasaki, Ken
Iwamoto, Yosuke
Nagahata, Itsuki
Okudera, Yoshihiko
Miura, Takanori
Shimada, Yoichi
Kijima, Hiroaki
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To compare the incidence of venous thromboembolism (VTE) after total hip arthroplasty (THA) using the direct anterior approach (DAA) with that using the direct lateral approach (DLA).
In addition, patient background characteristics and the incidence of VTE were compared between the first half and the latter half of the period after introducing DAA and against DLA.
Method.
This was a retrospective, multicenter study involving 109 patients (116 hips) who had undergone primary unilateral THA.
Thirty-six hips underwent THA using DAA and 80 hips underwent THA using DLA.
Patient information including sex, age, and preoperative diagnosis was collected.
The incidence of VTE was compared between DAA and DLA.
Moreover, the patients who underwent THA using DAA were divided into 2 groups (first half and latter half groups), and sex, age, body mass index (BMI), and surgical time were compared between the 2 groups.
Moreover, the incidence of VTE was compared among the 3 groups (first half of DAA, latter half of DAA, and DLA).
Results.
The incidence of VTE in the DAA group was significantly higher than that in the DLA group p=0.014.
The incidence of VTE in the first half group was significantly higher than in the latter half group and the DLA group (p=0.035 and p=0.001, respectively), and there was no difference in the incidence of VTE between the latter half group and the DLA group p=0.923.
Surgical time was significantly longer in the first half group than in the latter half group p=0.046.
Conclusions.
In the first half of the period after introducing the DAA, more VTEs occurred than in the DLA.
It may be important to shorten the surgical time in the early stage of introducing the DAA, and aggressive anticoagulation therapy may be required until the surgeon becomes familiar with the procedure.
American Psychological Association (APA)
Kawano, Tetsuya& Kijima, Hiroaki& Yamada, Shin& Konishi, Natsuo& Kubota, Hitoshi& Tazawa, Hiroshi…[et al.]. 2020. A Comparison of the Incidences of Venous Thromboembolism after Total Hip Arthroplasty between the Direct Anterior Approach and the Direct Lateral Approach, Especially in the Early Period after Introduction of the Direct Anterior Approach. Advances in Orthopedics،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1129813
Modern Language Association (MLA)
Kawano, Tetsuya…[et al.]. A Comparison of the Incidences of Venous Thromboembolism after Total Hip Arthroplasty between the Direct Anterior Approach and the Direct Lateral Approach, Especially in the Early Period after Introduction of the Direct Anterior Approach. Advances in Orthopedics No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1129813
American Medical Association (AMA)
Kawano, Tetsuya& Kijima, Hiroaki& Yamada, Shin& Konishi, Natsuo& Kubota, Hitoshi& Tazawa, Hiroshi…[et al.]. A Comparison of the Incidences of Venous Thromboembolism after Total Hip Arthroplasty between the Direct Anterior Approach and the Direct Lateral Approach, Especially in the Early Period after Introduction of the Direct Anterior Approach. Advances in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1129813
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129813