17. EVALUATION OF OUTCOMES OF TOTAL HIP ARTHROPLASTY WITH MODIFIED LATERAL APPROACH AT SAIGON ITO HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the outcomes of total hip arthroplasty in 360 patients using a modified lateral approach at Saigon ITO Hospital over a 10-year period.
Research objects and methods: This study included 360 cases, comprising 200 males and 160 females, aged 39-76 years, diagnosed with femoral neck fractures or hip joint necrosis, who underwent total hip arthroplasty using a modified lateral approach at Saigon ITO Hospital between 2014 and 2024.
Results: The surgical time ranged from 60-90 minutes, with blood loss ranging from 200-300 ml. Hip joint function was assessed using the Harris Hip Score, with 84.4% achieving good to excellent results, 15.6% achieving fair results, and no poor results. Twelve cases (3.33%) experienced partial gluteus medius atrophy but without limitation in hip abduction function. There were two cases of infection and two cases of thromboembolism (0.55%). Postoperative wound bleeding occurred in five cases (1.38%), and one case (0.27%) of periprosthetic fracture was observed. Notably, there were no cases of postoperative hip dislocation.
Conclusion: Total hip arthroplasty using a modified lateral approach is easy to perform, causes minimal soft tissue damage, yields good functional recovery of the hip joint, limits complications, and overcomes some existing drawbacks of the anterior and posterior approaches.
Article Details
Keywords
Femoral neck fracture, femoral head necrosis, total hip arthroplasty with modified lateral approach.
References
[2] Baker A.S, Bitounis V.C. Abductor function after total hip replacement: an electromyographic and clinical review. J Bone Joint Surg Br, 1989, 71: 47-50.
[3] Bertin K.C, Rottinger H. Anterolateral mini-incision hip replacement surgery: a modified Watson-Jones approach. Clin Orthop Relat Res, 2004, 429: 248-255.
[4] Hardinge K. The direct lateral approach to the hip. J Bone Joint Surg Br, 1982 64: 17-19.
[5] Harris W.H. A new lateral approach to the hip joint. J Bone Joint Surg Am, 1967, 49: 891-898.
[6] Kwon M.S, Kuskowski M, Mulhall K.J, Macaulay W, Brown T.E, Saleh K.J. Does surgical approach affect total hip arthroplasty dislocation rates? Clin Orthop Relat Res, 2006, 447: 34-38.
[7] Mallory T.H, Lombardi A.V Jr, Fada R.A, Herrington S.M, Eberle R.W. Dislocation after total hip arthroplasty using the anterolateral abductor split approach. Clin Orthop Relat Res, 1999, 358: 166-172.
[8] Masonis J.L, Bourne R.B. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res, 2002, 405: 46-53.
[9] Pfirrmann C.W, Notzli H.P, Dora C, Hodler J, Zanetti M. Abductor tendons and muscles assessed at MR imaging after total hip arthroplasty in asymptomatic and symptomatic patients. Radiology, 2005, 235: 969-976.
[10] Ritter M.A, Harty L.D, Keating M.E, Faris P.M, Meding J.B. A clinical comparison of the anterolateral and posterolateral approaches to the hip. Clin Orthop Relat Res, 2001, 385: 95-.99.